| NPI | 1598274177 |
|---|---|
| Former Name | JANELLE ZACH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: NE 11535) |
| Additional Taxonomies | 106E00000X Assistant Behavior Analyst |
| Enumeration Date | 2017-09-26 |
| Last Update Date | 2019-03-11 |