| NPI | 1245662485 |
|---|---|
| Former Name | SHARI LYNN ITO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 61547) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 61547) |
| Enumeration Date | 2013-07-30 |
| Last Update Date | 2018-03-17 |