| NPI | 1376675348 |
|---|---|
| Former Name | SHAHRZAD TABATABAI |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA MFC45222) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA MFC 45222) |
| Enumeration Date | 2007-03-12 |
| Last Update Date | 2016-02-08 |