NPI | 1477894210 |
---|---|
Former Name | LYNN MARIE ZAGZEBSKI |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NC 9526) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: NC A9526) |
Enumeration Date | 2013-03-04 |
Last Update Date | 2018-06-19 |