Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101YP2500X | Professional Counselor | PC009394 | PA |
NPI | 1003314634 |
---|---|
Provider Name | Mrs. Nicole Marie Nigborowicz |
First Address | Pittsburgh, PA 15243-1455 |
Second Address | Pittsburgh, PA 15206-3712 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 29/01/2018 |
Last Update Date | 29/01/2018 |