| NPI | 1861951485 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: PA PC012736) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MD LC7686) |
| Enumeration Date | 2019-03-13 |
| Last Update Date | 2022-01-21 |