| NPI | 1073925350 |
|---|---|
| Former Name | PANDORA KAY ZIOKOWSKI |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MT SWP-LCPC-LIC-7854) |
| Additional Taxonomies | 225C00000X Rehabilitation Counselor (Licence: MT 00111462) |
| Enumeration Date | 2014-05-21 |
| Last Update Date | 2014-09-10 |