| 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 |