| NPI | 1134435019 |
|---|---|
| Former Name | PENNY DEAKIN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: AZ LPC-15394) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: WI 3452-125) |
| 101YS0200X Counselor, School (Licence: WI 311116) | |
| Enumeration Date | 2010-08-30 |
| Last Update Date | 2015-09-29 |