NPI | 1215571401 |
---|---|
Former Name | JAMIE WOLFE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: PA PC011899) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: PA PC011899) |
Enumeration Date | 2019-10-31 |
Last Update Date | 2024-12-11 |