| NPI | 1255512950 |
|---|---|
| Former Name | BETH ANN GROOVER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: PA PC004620) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MS 2752) |
| Enumeration Date | 2007-11-21 |
| Last Update Date | 2022-02-01 |