NPI | 1710227590 |
---|---|
Former Legal Business Name | BONNIE MARSHALL |
Entity Type | Organization |
Authorized Contact | BONNIE HALLETT MARSHALL Counselor 610-574-0597 |
Organization Subpart ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: PA PL001959) |
Enumeration Date | 2013-02-15 |
Last Update Date | 2013-02-15 |