| NPI | 1962819847 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: PA PC007940) |
| Additional Taxonomies | 174400000X Specialist (Licence: PA MSG008037) |
| Enumeration Date | 2014-07-12 |
| Last Update Date | 2019-05-05 |