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 |