| NPI | 1861724734 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CO LPC.0011575) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: PA PC014809) |
| Enumeration Date | 2010-02-03 |
| Last Update Date | 2023-04-26 |