| NPI | 1922596055 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: PA PC008175) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CA 11616) |
| Enumeration Date | 2018-04-24 |
| Last Update Date | 2024-01-12 |