| NPI | 1003870411 |
|---|---|
| Former Name | KATHLEEN MARIE BARCZAK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: DC LC50077815) |
| Additional Taxonomies | 104100000X Social Worker (Licence: PA SW011254L) |
| Enumeration Date | 2006-04-13 |
| Last Update Date | 2022-09-08 |