Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101YS0200X | School Counselor | 4237581 | PA |
NPI | 1174057061 |
---|---|
Provider Name | Mrs. Nora Lynne Benko |
First Address | Pottstown, PA 19464-6421 |
Second Address | Pottstown, PA 19464-6421 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/04/2017 |
Last Update Date | 18/04/2017 |