| NPI | 1568921906 |
|---|---|
| Former Name | BETHANY LEE BURTON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: PA PC011055) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: DE PC-0011379) |
| Enumeration Date | 2019-03-15 |
| Last Update Date | 2023-02-23 |