NPI | 1336803998 |
---|---|
Former Name | ADRIANE SHULTZ |
Entity Type | Individual |
Gender | N/A |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: PA CW023222) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: PA SW135945) |
101YM0800X Counselor, Mental Health (Licence: PA SW135945) | |
Enumeration Date | 2021-10-28 |
Last Update Date | 2025-01-06 |