| NPI | 1053034934 |
|---|---|
| Former Name | CARRISA ZAJAC |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: TX 111665) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NM SWB-2024-0651) |
| Enumeration Date | 2022-09-26 |
| Last Update Date | 2024-12-31 |