| NPI | 1932471448 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: PA PC006698) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: OH E0500606) |
| Enumeration Date | 2012-01-30 |
| Last Update Date | 2022-07-21 |