| NPI | 1679959654 |
|---|---|
| Former Name | JUSTINA OLRICK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WI 8801) |
| Additional Taxonomies | 104100000X Social Worker (Licence: WI 129537-121) |
| Enumeration Date | 2015-08-03 |
| Last Update Date | 2021-05-27 |