NPI | 1164886131 |
---|---|
Former Name | OLIVIA ANN GUILBERT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: PA PC016037) |
Additional Taxonomies | 101Y00000X Counselor |
101YM0800X Counselor, Mental Health (Licence: PA pc016037) | |
Enumeration Date | 2016-04-06 |
Last Update Date | 2024-05-09 |