| NPI | 1851821722 |
|---|---|
| Other Name | IZABELA MALGORZATA PYTLAK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: MI 6401016125) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: MI 6401017598) |
| Enumeration Date | 2017-06-14 |
| Last Update Date | 2019-09-13 |