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 |