NPI | 1205066024 |
---|---|
Former Name | KRISTA M ADAMCZYK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH I.1000083) |
Additional Taxonomies | 104100000X Social Worker (Licence: OH S.0701513) |
Enumeration Date | 2009-07-15 |
Last Update Date | 2012-04-26 |