NPI | 1477272573 |
---|---|
Former Name | JANE SHURILLA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: PA PC015286) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
Enumeration Date | 2022-08-23 |
Last Update Date | 2024-07-02 |