| NPI | 1881752764 |
|---|---|
| Former Name | JOAN MARIE PRUNESKI |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: KY 1444) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: IN 34004222A) |
| Enumeration Date | 2006-12-04 |
| Last Update Date | 2024-12-20 |