Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 101YM0800X | Mental Health Counselor | ||
N | 103G00000X | Clinical Psychologist | 021233 | NY |
N | 103TC0700X | Clinical Psychologist | 021233 | NY |
Y | 102L00000X | Psychologist | 021233 | NY |
Y | 103T00000X | Psychologist | 021233 | NY |
N | 103TH0004X | Health Psychologist | 021233 | NY |
N | 103TR0400X | Rehabilitation Psychologist | 021233 | NY |
N | 225X00000X | Occupational Therapist | 018773 | NY |
NPI | 1770862807 |
---|---|
Provider Name | Dr. Gina Marie Zali |
First Address | Williamsville, NY 14221-5783 |
Second Address | Williamsville, NY 14221-5783 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 07/08/2011 |
Last Update Date | 02/02/2017 |