| NPI | 1407431240 |
|---|---|
| Former Name | SUSANA PROCHASKA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: KS 3530) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: KS 3530) |
| 101YM0800X Counselor, Mental Health (Licence: KS 3530) | |
| 101YS0200X Counselor, School (Licence: KS 1125143878) | |
| Enumeration Date | 2021-03-12 |
| Last Update Date | 2021-03-12 |