| NPI | 1750637401 |
|---|---|
| Former Name | JAMIE LYNNE WARGO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: PA PC013633) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL MH17585) |
| Enumeration Date | 2012-07-31 |
| Last Update Date | 2025-09-26 |