| NPI | 1841698875 |
|---|---|
| Former Name | ELIZABETH LUCILLE KRZEWSKI |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH11594) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: FL 318586) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: FL 5267) | |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NY CASAC-22251) | |
| Enumeration Date | 2014-12-08 |
| Last Update Date | 2021-12-15 |