| NPI | 1083095434 |
|---|---|
| Other Name | ANIA POLTORAK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CT 3124) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2015-06-11 |
| Last Update Date | 2020-10-15 |