NPI | 1205063609 |
---|---|
Former Name | MOJCA BRANC |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: PA PC008445) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
Enumeration Date | 2009-06-12 |
Last Update Date | 2020-04-27 |