| NPI | 1023197639 |
|---|---|
| Former Name | BETH AILEEN MANBECK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: PA CW015493) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: PA CW015493) |
| Enumeration Date | 2006-11-03 |
| Last Update Date | 2008-10-30 |