NPI | 1811335698 |
---|---|
Former Name | JESSICA ISABELA ZABAJNIK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT99549) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA IMF84031) |
101YM0800X Counselor, Mental Health | |
Enumeration Date | 2013-06-13 |
Last Update Date | 2023-05-18 |