Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101YS0200X | School Counselor | SW134477 | MI |
NPI | 1255814117 |
---|---|
Provider Name | Devin Mary Sioma |
First Address | Aston, PA 19014 |
Second Address | Aston, PA 19014 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/09/2018 |
Last Update Date | 07/09/2018 |