NPI | 1821295817 |
---|---|
Former Name | KIMBERLY ANN CEGELKA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: CT 7072) |
Additional Taxonomies | 104100000X Social Worker |
Enumeration Date | 2007-07-02 |
Last Update Date | 2023-06-08 |