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 |