NPI | 1952445504 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: PA PC003309) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: NJ 37PC00098300) |
Enumeration Date | 2007-02-16 |
Last Update Date | 2023-11-18 |