| NPI | 1124640578 |
|---|---|
| Former Name | LEISZLE RAE ZIEMBA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: IL 071010311) |
| Additional Taxonomies | 103T00000X Psychologist |
| Enumeration Date | 2020-05-08 |
| Last Update Date | 2020-10-14 |