| NPI | 1457585820 |
|---|---|
| Former Name | MARCO ANTONIO NOZICKA |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C006326) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IL 149.001824) |
| Enumeration Date | 2009-05-13 |
| Last Update Date | 2009-05-13 |