NPI | 1891993358 |
---|---|
Former Name | EMILEE JO GIRTY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: PA CW016103) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: PA SW125861) |
Enumeration Date | 2007-07-06 |
Last Update Date | 2017-02-10 |