| NPI | 1790375228 |
|---|---|
| Former Name | MICHELE ANDERKO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: PA CW020288) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: NJ 44SCO4589200) |
| Enumeration Date | 2021-01-19 |
| Last Update Date | 2022-01-20 |