| NPI | 1861948648 |
|---|---|
| Former Name | BONNIE JEAN BAZIK-ASSANOWICZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: PA PC015135) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: PA MSG009936) |
| Enumeration Date | 2016-08-31 |
| Last Update Date | 2024-07-15 |