NPI | 1023415775 |
---|---|
Former Name | SARA CHLEBANOWSKI |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149.017099) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IL 140.017099) |
Enumeration Date | 2014-11-24 |
Last Update Date | 2019-12-03 |