| NPI | 1316166127 |
|---|---|
| Former Name | DEJA BARONE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH10213) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: PA PC004530) |
| 101YP2500X Counselor, Professional (Licence: PA PC004530) | |
| Enumeration Date | 2007-04-24 |
| Last Update Date | 2024-01-24 |