| NPI | 1629806955 |
|---|---|
| Former Name | MICHAELA SOFIA JENDRYSIK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MT BBH-LCSW-LIC-72295) |
| Enumeration Date | 2024-07-26 |
| Last Update Date | 2024-07-26 |