NPI | 1225281843 |
---|---|
Former Name | DENISE YVETTE FORNEY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor Professional (Licence: PA PC012232) |
Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: PA PC012232) |
101YP2500X Counselor Professional (Licence: WA LH60143071) | |
101YP2500X Counselor Professional | |
251S00000X Community/Behavioral Health | |
Enumeration Date | 2008-10-28 |
Last Update Date | 2025-07-22 |