NPI | 1104420736 |
---|---|
Other Name | ROXANNA AZARDOUST |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 164X00000X Licensed Vocational Nurse (Licence: CA 718329) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
Enumeration Date | 2020-11-24 |
Last Update Date | 2023-04-05 |