| NPI | 1972561546 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: NC 5133) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: PA PC003776) |
| Enumeration Date | 2006-05-03 |
| Last Update Date | 2007-07-08 |