| NPI | 1417334384 |
|---|---|
| Former Name | EMILY ROSE MOHAMED |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 88142) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 72195) |
| Enumeration Date | 2015-04-29 |
| Last Update Date | 2021-02-01 |