NPI | 1114412921 |
---|---|
Former Name | JENNAFER LAUREN ZITO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health |
Additional Taxonomies | 101YP2500X Counselor, Professional |
Enumeration Date | 2018-06-25 |
Last Update Date | 2018-06-25 |