NPI | 1730765710 |
---|---|
Former Name | CATHERINE RENEE KALISZEWSKI |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: TX 107056) |
Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: TX 15593) |
Enumeration Date | 2021-03-22 |
Last Update Date | 2024-06-10 |