Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101YP2500X | Professional Counselor | PC005759 | PA |
NPI | 1003100140 |
---|---|
Provider Name | Sarah Ruth Maffei |
First Address | Allison Park, PA 15101-2951 |
Second Address | Allison Park, PA 15101 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/06/2011 |
Last Update Date | 25/07/2018 |