| NPI | 1922674233 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: WV 2894) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: PA PC019419) |
| Enumeration Date | 2021-05-28 |
| Last Update Date | 2026-04-14 |