| NPI | 1013053131 |
|---|---|
| Former Name | LORETTA ANN ZAKOWSKI |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: GA 000556) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: GA LCSW556) |
| 1041C0700X Social Worker, Clinical (Licence: GA 000556LCSW) | |
| 106H00000X Marriage & Family Therapist (Licence: GA 000476) | |
| 106H00000X Marriage & Family Therapist (Licence: GA 000476LMFT) | |
| 106H00000X Marriage & Family Therapist (Licence: GA LMFT476) | |
| Enumeration Date | 2007-01-29 |
| Last Update Date | 2022-03-21 |