| NPI | 1972694206 |
|---|---|
| Former Name | KAREN MARIE ZYGOWICZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: MI 6301014461) |
| Additional Taxonomies | 103TA0400X Psychologist, Addiction (Substance Use Disorder) (Licence: WI 2730-057) |
| 103T00000X Psychologist (Licence: WI 2730-057) | |
| 103TA0400X Psychologist, Addiction (Substance Use Disorder) (Licence: MI 6301014461) | |
| Enumeration Date | 2006-09-28 |
| Last Update Date | 2021-08-24 |