Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101YP2500X | Professional Counselor | PC012281 | PA |
NPI | 1003429978 |
---|---|
Provider Name | Rosemary Cunningham |
First Address | South Park, PA 15129-9538 |
Second Address | Pittsburgh, PA 15228-1927 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 28/08/2020 |
Last Update Date | 24/06/2021 |