| NPI | 1407576739 |
|---|---|
| Former Name | SALLY COLLIER ZENDEJAS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MO 2014031370) |
| Additional Taxonomies | 104100000X Social Worker (Licence: KS 3127) |
| Enumeration Date | 2022-08-29 |
| Last Update Date | 2022-08-29 |