| 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 |