NPI | 1669864070 |
---|---|
Former Name | KAYLA BURSZTYN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: RI ISW03011) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: RI CDP00807) |
101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NJ 37LC00227500) | |
1041C0700X Social Worker, Clinical (Licence: NJ 44SC05715500) | |
Enumeration Date | 2015-02-21 |
Last Update Date | 2023-10-16 |