| NPI | 1750788980 |
|---|---|
| Former Name | MICHAEL KORNYLAK |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: HI PSY-1658) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2014-12-03 |
| Last Update Date | 2022-07-21 |