| NPI | 1497223986 |
|---|---|
| Former Name | IRAIS LEON DIAZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCSW110925) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA ASW86521) |
| Enumeration Date | 2018-11-02 |
| Last Update Date | 2024-03-13 |