| NPI | 1740795608 |
|---|---|
| Former Name | MARY KATE TOMCZAK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: WI 7501-125) |
| Additional Taxonomies | 104100000X Social Worker (Licence: WI 3740-226) |
| Enumeration Date | 2017-12-13 |
| Last Update Date | 2019-08-19 |