NPI | 1023532744 |
---|---|
Other Name | SUSAN COSTA-BEDDALL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: PA PC009704) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: PA PC009704) |
Enumeration Date | 2017-08-03 |
Last Update Date | 2018-03-17 |