| 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 | 1041C0700X Social Worker, Clinical (Licence: MA 113381) |
| 1041C0700X Social Worker, Clinical (Licence: OR 5399) | |
| 101YM0800X Counselor, Mental Health (Licence: OR 5399) | |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2025-05-30 |