NPI | 1275025645 |
---|---|
Former Name | JULIA M PISANSKY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OH E.2001618) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH LICDC.161902) |
Enumeration Date | 2018-06-01 |
Last Update Date | 2020-01-28 |