| NPI | 1144550757 |
|---|---|
| Former Name | KRISTINA WALLITSCH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 079629) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 72-077307) |
| Enumeration Date | 2010-01-04 |
| Last Update Date | 2012-06-14 |