NPI | 1568795912 |
---|---|
Former Name | KRYSTYNA SZYMCZUK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor Mental Health |
Additional Taxonomies | 222Q00000X Developmental Therapist |
Enumeration Date | 2009-09-16 |
Last Update Date | 2018-11-27 |