NPI | 1346648169 |
---|---|
Former Name | TARA KARCZEWSKI |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: ME LC15928) |
Additional Taxonomies | 104100000X Social Worker (Licence: ME MC14867) |
Enumeration Date | 2014-12-10 |
Last Update Date | 2024-10-09 |