NPI | 1467228387 |
---|---|
Former Name | THERESE BEGAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: PA PC006871) |
Additional Taxonomies | 103T00000X Psychologist (Licence: MI 6361004435) |
Enumeration Date | 2023-12-01 |
Last Update Date | 2023-12-29 |