NPI | 1205087731 |
---|---|
Former Name | CHRISTINE M MATUSEK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TN 6087) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IL 149-012630) |
Enumeration Date | 2008-10-02 |
Last Update Date | 2025-08-11 |