| NPI | 1235501461 |
|---|---|
| Former Name | GEMMA EDWARDO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: PA PC008100) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: PA 9387) |
| Enumeration Date | 2015-10-27 |
| Last Update Date | 2024-07-24 |