| NPI | 1144546987 |
|---|---|
| Former Name | SHANA MARIE ZITO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: WA 60496390) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: WA MC 60178892) |
| 103K00000X Behavior Analyst (Licence: CA 1-08-3995) | |
| Enumeration Date | 2010-04-19 |
| Last Update Date | 2021-09-17 |