NPI | 1649570334 |
---|---|
Former Name | KIMBERLY NICOLE WRZECIONA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: OH P.07989) |
Enumeration Date | 2010-10-27 |
Last Update Date | 2025-04-09 |