| 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 |