NPI | 1972905669 |
---|---|
Other Name | KATHLEEN HELEN WYSZACKI |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
Enumeration Date | 2014-09-24 |
Last Update Date | 2014-09-24 |