| NPI | 1790970671 |
|---|---|
| Former Name | TERESA ELIZABETH TRESSELT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: PA PC001817) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: PA PC001817) |
| 101YM0800X Counselor, Mental Health (Licence: PA PC001817) | |
| Enumeration Date | 2007-09-13 |
| Last Update Date | 2016-06-13 |