| NPI | 1740525070 |
|---|---|
| Former Name | JOANN MARIE BARYLSKI |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: WI 15599-131) |
| Enumeration Date | 2012-11-27 |
| Last Update Date | 2014-06-09 |