NPI | 1982144994 |
---|---|
Former Name | KAITLIN ZYLICH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 104100000X Social Worker (Licence: NY 094017-1) |
Additional Taxonomies | 104100000X Social Worker (Licence: NY 089333) |
Enumeration Date | 2017-02-24 |
Last Update Date | 2022-08-19 |