| NPI | 1578843405 |
|---|---|
| Former Name | JAMIE RADONSKI |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: WI 3092-57) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: WI 4636-125) |
| Enumeration Date | 2011-08-23 |
| Last Update Date | 2021-03-30 |