NPI | 1225840317 |
---|---|
Former Name | CATHERINE ANNA BURZYNSKI |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW24163) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL SW24163) |
Enumeration Date | 2025-01-24 |
Last Update Date | 2025-02-12 |