| NPI | 1801521406 |
|---|---|
| Former Name | EMILY BRENNY KROSKA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: IA 097020) |
| Additional Taxonomies | 103TH0100X Psychologist Health Service (Licence: IA 097080) |
| Enumeration Date | 2022-07-19 |
| Last Update Date | 2022-07-19 |