NPI | 1689163156 |
---|---|
Former Name | KAREN G ZASO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 104100000X Social Worker (Licence: MT 19373) |
Additional Taxonomies | 103K00000X Behavior Analyst (Licence: MT BBH-SWLC-LIC-19373) |
172V00000X Community Health Worker | |
Enumeration Date | 2018-05-09 |
Last Update Date | 2021-10-26 |