| NPI | 1740928571 |
|---|---|
| Former Name | MAYA MCKENZIE ZUNDEL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 095783) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 107481) |
| Enumeration Date | 2022-05-23 |
| Last Update Date | 2023-07-26 |