| NPI | 1104365907 |
|---|---|
| Former Name | RENEE SZEWCZUL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MI 6361007837) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: MI 6362007229) |
| 103TC0700X Psychologist, Clinical (Licence: MI 6301017006) | |
| Enumeration Date | 2017-02-14 |
| Last Update Date | 2023-06-14 |