NPI | 1619165347 |
---|---|
Former Name | BOBBI JO WENDEL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: PA PC004566) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: WV 2632) |
Enumeration Date | 2007-10-09 |
Last Update Date | 2023-08-25 |