| NPI | 1962277624 |
|---|---|
| Professional Name | PENNIE GEORGIA RAYMOND |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: WI 1067-228) |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| Enumeration Date | 2023-11-22 |
| Last Update Date | 2024-08-28 |