NPI | 1295362473 |
---|---|
Former Name | EMILY MARECIC |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: PA PC012045) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
Enumeration Date | 2020-03-26 |
Last Update Date | 2021-10-26 |