NPI | 1477969699 |
---|---|
Former Name | CHRISTIANA JOAN WISNIEWSKI |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC P011164) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: PA sw131670) |
Enumeration Date | 2014-07-08 |
Last Update Date | 2017-01-20 |