| NPI | 1902219538 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: PA PC018384)  | 
| Additional Taxonomies | 101YP2500X Counselor, Professional | 
| Enumeration Date | 2014-06-11 | 
| Last Update Date | 2025-09-09 |