| NPI | 1023536737 |
|---|---|
| Former Name | JOANNA WOJTOWICZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: VT 068-0100839) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: VT 151-0132461) |
| Enumeration Date | 2017-09-01 |
| Last Update Date | 2017-09-01 |