NPI | 1659617892 |
---|---|
Former Name | MINDY M DONATELLI |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: PA PC009357) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
Enumeration Date | 2012-12-17 |
Last Update Date | 2023-10-16 |