| NPI | 1215501697 |
|---|---|
| Former Name | NICOLE GREGORIO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: PA PC009666) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: PA 348313) |
| Enumeration Date | 2021-05-19 |
| Last Update Date | 2023-01-12 |