| NPI | 1528336609 |
|---|---|
| Former Name | ZOE TALLIDIS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801102269) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: TX 55713) |
| Enumeration Date | 2011-12-05 |
| Last Update Date | 2023-11-16 |