| NPI | 1336551381 |
|---|---|
| Former Name | LAURA ZAKRESKI |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: RI PS01619) |
| Additional Taxonomies | 103T00000X Psychologist |
| Enumeration Date | 2014-05-27 |
| Last Update Date | 2019-01-02 |