NPI | 1194923730 |
---|---|
Former Name | TRICIA MALINOWSKI |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CT 001888) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
Enumeration Date | 2007-07-05 |
Last Update Date | 2010-03-02 |