NPI | 1982917324 |
---|---|
Former Name | DANIELLE POCHMARA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801093020) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MI C-02711) |
Enumeration Date | 2010-07-14 |
Last Update Date | 2015-11-09 |