NPI | 1134318348 |
---|---|
Former Name | AMELIA URBAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101Y00000X Counselor (Licence: PA PC005871) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NJ 37PC375900) |
Enumeration Date | 2007-10-24 |
Last Update Date | 2015-05-20 |