NPI | 1053645689 |
---|---|
Former Name | TRICIA LEE HURTA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: PA PC004846) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: VA 0701004650) |
Enumeration Date | 2009-09-29 |
Last Update Date | 2021-12-07 |