| NPI | 1871995241 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: PA PC001182) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: PA 00016461) |
| Enumeration Date | 2014-09-17 |
| Last Update Date | 2014-09-17 |