NPI | 1922363167 |
---|---|
Former Name | KRISTINA BILICKI |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL Sw11302) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
Enumeration Date | 2012-07-12 |
Last Update Date | 2016-11-02 |