NPI | 1194973594 |
---|---|
Former Name | JEANINE THERESE BAJEK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101Y00000X Counselor |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
Enumeration Date | 2008-08-28 |
Last Update Date | 2009-09-08 |