| NPI | 1982871448 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: WV 2478) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: PA 218845) |
| Enumeration Date | 2008-05-14 |
| Last Update Date | 2024-08-11 |