| NPI | 1861897357 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: PA PC007174) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: FL 790) |
| Enumeration Date | 2014-10-27 |
| Last Update Date | 2022-10-18 |