NPI | 1003299397 |
---|---|
Professional Name | GENA PATACKAS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101Y00000X Counselor |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
Enumeration Date | 2015-07-03 |
Last Update Date | 2015-11-04 |