NPI | 1720109069 |
---|---|
Former Name | JENNIFER R NAWRATH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: PA PC004402) |
Additional Taxonomies | 101Y00000X Counselor (Licence: PA PC004402) |
101YM0800X Counselor, Mental Health (Licence: PA PC004402) | |
Enumeration Date | 2007-04-03 |
Last Update Date | 2024-11-01 |