NPI | 1962945469 |
---|---|
Former Name | CHRIS TYLKA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WI 12132-123) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: WI 12668) |
171M00000X Case Manager/Care Coordinator (Licence: WI 2643) | |
Enumeration Date | 2016-12-01 |
Last Update Date | 2025-01-30 |