| NPI | 1487316667 |
|---|---|
| Former Name | DEANNA JEAN MERTZ, PAPE, JANICK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: PA 7569) |
| Enumeration Date | 2021-10-06 |
| Last Update Date | 2021-10-06 |