| NPI | 1962687731 |
|---|---|
| Former Name | MARIE LOURNA CHARLES |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: PA CW020300) |
| Additional Taxonomies | 101Y00000X Counselor |
| 1041C0700X Social Worker, Clinical | |
| Enumeration Date | 2007-12-29 |
| Last Update Date | 2019-10-24 |