| NPI | 1912179987 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: PA PC007381) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MD LC2859) |
| Enumeration Date | 2008-03-29 |
| Last Update Date | 2014-02-19 |