NPI | 1144577479 |
---|---|
Former Legal Business Name | KANEEZA LAFIR PSYD |
Entity Type | Organization |
Authorized Contact | SHAMINA MUSTAFA Manager 951-522-1042 |
Organization Subpart ? | No |
Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: CA PSY19238) |
Enumeration Date | 2012-08-06 |
Last Update Date | 2016-06-23 |