Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101YM0800X | Mental Health Counselor | 466 | DE |
N | 101YP2500X | Professional Counselor | 466 | DE |
NPI | 1003042201 |
---|---|
Provider Name | Ms. Mary P Soligo |
First Address | Wilmington, DE 19808-4068 |
Second Address | Wilmington, DE 19808-4068 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 02/06/2009 |
Last Update Date | 04/06/2009 |