| NPI | 1871898551 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: MD LC4791) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: PA PC013300) |
| Enumeration Date | 2011-01-11 |
| Last Update Date | 2024-01-05 |