NPI | 1124106075 |
---|---|
Former Name | BARBARA CHRISTINA LYSKOWSKI |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MO 003756) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MO 000067) |
Enumeration Date | 2006-11-01 |
Last Update Date | 2025-09-11 |