| NPI | 1083039259 |
|---|---|
| Former Name | CARRIE B KRAJEWSKI |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WI 8579-123) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WI 18174-130) |
| Enumeration Date | 2014-02-25 |
| Last Update Date | 2019-09-16 |