| NPI | 1982033643 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: PA PC003571) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: NJ 37PC00321300) |
| Enumeration Date | 2013-11-04 |
| Last Update Date | 2015-05-24 |