NPI | 1477928471 |
---|---|
Former Name | ERIN BARTOSIK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: AZ 4672) |
Additional Taxonomies | 103TS0200X Psychologist, School (Licence: AZ 4672) |
Enumeration Date | 2015-12-02 |
Last Update Date | 2018-07-31 |