NPI | 1346229713 |
---|---|
Former Name | ANNA MARIE WONDOLOWSKI |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: UT 3645073501) |
Additional Taxonomies | 1041S0200X Social Worker, School (Licence: UT 3645073501) |
Enumeration Date | 2006-01-12 |
Last Update Date | 2007-07-08 |