| NPI | 1699884635 |
|---|---|
| Former Name | KRISTY L ZAJAC |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: NC C005343) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: OR 5399) |
| 1041C0700X Social Worker Clinical (Licence: MA 113381) | |
| 1041C0700X Social Worker Clinical (Licence: OR 5399) | |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2014-10-08 |