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 |