| NPI | 1518175538 |
|---|---|
| Former Name | DIANE ELIZABETH HOUGHTON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: PA PC000916) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: VA 1328) |
| Enumeration Date | 2007-05-21 |
| Last Update Date | 2007-07-08 |