| NPI | 1649805862 |
|---|---|
| Former Name | STEPHANIE POKORSKI |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NC 15558) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NC 15558) |
| Enumeration Date | 2020-03-09 |
| Last Update Date | 2023-11-08 |