| NPI | 1144862061 |
|---|---|
| Former Name | BETH ANN HULISKA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MO 2012007523) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: KS 5216) |
| Enumeration Date | 2019-10-11 |
| Last Update Date | 2022-08-19 |