| NPI | 1811290620 |
|---|---|
| Former Name | JONELLE LEE HANAWALT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: PA PC005543) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: PA PC005543) |
| Enumeration Date | 2010-12-16 |
| Last Update Date | 2025-02-05 |