| NPI | 1780770537 |
|---|---|
| Other Name | MARY SUZETTE ZIMOMRA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: VA 0717000883) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: VA 0701001964) |
| Enumeration Date | 2006-10-05 |
| Last Update Date | 2024-11-04 |