NPI | 1609195437 |
---|---|
Former Name | HEATHER DAWN DANILOVICS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CA 112) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: PA PC004862) |
Enumeration Date | 2010-05-18 |
Last Update Date | 2018-01-08 |