NPI | 1740711746 |
---|---|
Former Name | ALYSSA MARIE STANKOSKI |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NE 6200) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NE 2428) |
1041C0700X Social Worker, Clinical (Licence: NE 3077) | |
Enumeration Date | 2017-03-22 |
Last Update Date | 2024-12-28 |