| 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 |