NPI | 1821318213 |
---|---|
Former Name | CHERYL ANN GRZESIAKOWSKI |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801086375) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MT 889) |
Enumeration Date | 2010-06-08 |
Last Update Date | 2018-03-17 |