NPI | 1770923757 |
---|---|
Former Name | IZABELA WODZINSKA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: AZ 18116) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: IL 180.010104) |
Enumeration Date | 2013-07-05 |
Last Update Date | 2020-03-19 |