NPI | 1326596412 |
---|---|
Former Name | MALWINA GRZADKO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CT 001850) |
Enumeration Date | 2016-09-17 |
Last Update Date | 2024-03-27 |