NPI | 1346665411 |
---|---|
Former Name | TERESA M SCIARA |
Entity Type | Individual |
Gender | N/A |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: KS 2488) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MO 2014015305) |
101YP2500X Counselor, Professional (Licence: AZ 22554) | |
Enumeration Date | 2014-02-26 |
Last Update Date | 2025-01-25 |