NPI | 1083040174 |
---|---|
Former Name | CATHERINE ANNE WYBORSKI |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health |
Additional Taxonomies | 106S00000X Behavior Technician |
Enumeration Date | 2013-09-20 |
Last Update Date | 2020-10-28 |