| NPI | 1073866265 |
|---|---|
| Former Name | JULIE ANN DAKUNCHAK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: PA PC005805) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: DE PC-0000548) |
| Enumeration Date | 2012-10-25 |
| Last Update Date | 2012-10-25 |