NPI | 1033446992 |
---|---|
Former Name | KEATON CLAUSS MUZIKA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IL 071010202) |
Additional Taxonomies | 104100000X Social Worker (Licence: NY 080084) |
1041C0700X Social Worker, Clinical (Licence: CO 09923641) | |
Enumeration Date | 2009-11-12 |
Last Update Date | 2024-12-05 |