| NPI | 1952503443 |
|---|---|
| Former Name | WIESLAWA DOMANSKA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: ID 5133) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: TX 60570) |
| Enumeration Date | 2007-06-05 |
| Last Update Date | 2013-10-25 |