| NPI | 1346891934 |
|---|---|
| Former Name | STEPHANIE WYSOCKI |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041S0200X Social Worker, School (Licence: CA 117604) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2019-09-25 |
| Last Update Date | 2026-01-29 |