NPI | 1215130141 |
---|---|
Professional Name | RUTH BARAJAS-MAZAHERI |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OK 104) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: OK 804) |
106H00000X Marriage & Family Therapist (Licence: OK 653) | |
Enumeration Date | 2007-06-07 |
Last Update Date | 2008-06-06 |