| NPI | 1114412012 |
|---|---|
| Former Name | MARIE ZIMMERMAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NY 011014-01) |
| Additional Taxonomies | 101Y00000X Counselor |
| Enumeration Date | 2018-06-25 |
| Last Update Date | 2024-11-12 |