NPI | 1619732526 |
---|---|
Former Name | TANJA DEFELICE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 251S00000X |
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 |