| NPI | 1750939518 |
|---|---|
| Former Name | ANNA ROSE BULKA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA R1323740918) |
| Enumeration Date | 2019-08-26 |
| Last Update Date | 2019-08-26 |