NPI | 1073988671 |
---|---|
Former Name | MAGDALENA BORYCZKO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103T00000X Psychologist (Licence: FL PY11106) |
Additional Taxonomies | 103T00000X Psychologist (Licence: IL 071.010416) |
Enumeration Date | 2015-12-08 |
Last Update Date | 2022-07-12 |