| NPI | 1457667594 |
|---|---|
| Former Name | MAYA HAVENER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: CA 107114) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: CA ASW84327) |
| 1041C0700X Social Worker, Clinical (Licence: CA 107114) | |
| Enumeration Date | 2010-08-26 |
| Last Update Date | 2025-01-15 |