NPI | 1740640879 |
---|---|
Former Name | AGNIESZKA MAGDALENA MCCARTHY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: IL 180010207) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: IL 180010207) |
Enumeration Date | 2016-03-02 |
Last Update Date | 2023-12-20 |