Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 101Y00000X | Counselor | ||
N | 101YM0800X | Mental Health Counselor | ||
Y | 101YS0200X | School Counselor |
NPI | 1154934057 |
---|---|
Provider Name | Dalia Simona Sorrentino |
First Address | Broomall, PA 19008-2947 |
Second Address | Frazer, PA 19355-1800 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/08/2020 |
Last Update Date | 28/08/2020 |