| NPI | 1184934556 |
|---|---|
| Former Name | DENISE POREMBA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: PA PC008586) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: PA 8946) |
| Enumeration Date | 2010-10-19 |
| Last Update Date | 2019-01-30 |