NPI | 1629607353 |
---|---|
Former Name | STEFANI MALINOWSKI |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: SC 14424) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NC P012651) |
Enumeration Date | 2020-04-04 |
Last Update Date | 2021-09-09 |