NPI | 1164858486 |
---|---|
Former Name | JESSICA STEMMLER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: PA PC008822) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
Enumeration Date | 2013-09-18 |
Last Update Date | 2016-04-12 |