NPI | 1902187719 |
---|---|
Professional Name | KIM WITKOWSKI |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MD LC4011) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: SC LPC1807) |
101YP2500X Counselor, Professional (Licence: DC PRC14162) | |
Enumeration Date | 2011-09-07 |
Last Update Date | 2023-10-19 |