NPI | 1518624535 |
---|---|
Former Name | REBECCA GOWARTY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: PA PC013821) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: PA PC013821) |
Enumeration Date | 2021-11-24 |
Last Update Date | 2023-08-11 |