| NPI | 1366242596 |
|---|---|
| Former Name | MONICA MARIE WYHOWANEC |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TS0200X Psychologist, School (Licence: AZ 5549656) |
| Additional Taxonomies | 103TM1800X Psychologist, Intellectual & Developmental Disabilities |
| Enumeration Date | 2025-03-17 |
| Last Update Date | 2025-03-17 |