NPI | 1568172286 |
---|---|
Former Name | JANA GEORGEANNE MUZYKA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 102L00000X Psychoanalyst (Licence: KS 207) |
Additional Taxonomies | 103TS0200X Psychologist, School (Licence: KS 2798185866) |
Enumeration Date | 2022-12-05 |
Last Update Date | 2022-12-05 |