NPI | 1639436686 |
---|---|
Former Name | ELLEN M. ZAMANSKY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NC 13322) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: AZ LPC 1174) |
Enumeration Date | 2012-04-16 |
Last Update Date | 2020-09-17 |