| NPI | 1962945469 |
|---|---|
| Former Name | CHRIS TYLKA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: WI 12668) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator (Licence: WI 2643) |
| Enumeration Date | 2016-12-01 |
| Last Update Date | 2023-06-27 |