| NPI | 1619732526 |
|---|---|
| Former Name | TANJA DEFELICE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 101YM0800X Counselor Mental Health |
| 101YP1600X Counselor Pastoral | |
| 175T00000X Peer Specialist | |
| 251B00000X Case Management | |
| Enumeration Date | 2024-02-20 |
| Last Update Date | 2024-03-21 |