Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101YS0200X | School Counselor | 1025117 | MA |
NPI | 1164903100 |
---|---|
Provider Name | Ms. Teresita Guerra |
First Address | Holyoke, MA 01040-1092 |
Second Address | Holyoke, MA 01040-5090 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 28/08/2018 |
Last Update Date | 28/08/2018 |