NPI | 1952697005 |
---|---|
Former Name | DEIRDRE MARIE PRICE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: PA PC011647) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
Enumeration Date | 2011-06-27 |
Last Update Date | 2021-01-21 |