| NPI | 1902652480 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: PA PC019241) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: PA APC000012) |
| Enumeration Date | 2024-04-25 |
| Last Update Date | 2025-09-03 |