| NPI | 1922546803 |
|---|---|
| Former Name | MISTY MANCINI |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: PA PC009113) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL MH13238) |
| Enumeration Date | 2017-02-10 |
| Last Update Date | 2017-02-10 |