NPI | 1558120451 |
---|---|
Former Name | TOSHA GAUMER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: PA PC016878) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: PA PC016878) |
Enumeration Date | 2024-03-14 |
Last Update Date | 2024-09-06 |