| NPI | 1972852481 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: PA PC006514) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: FL TPMC1044) |
| Enumeration Date | 2012-08-30 |
| Last Update Date | 2025-02-17 |