| NPI | 1689320699 |
|---|---|
| Former Name | MARIJKE ELLEN WYNEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149.024993) |
| Additional Taxonomies | 104100000X Social Worker (Licence: IL 150.105443) |
| Enumeration Date | 2022-02-28 |
| Last Update Date | 2023-05-16 |