| NPI | 1568641207 |
|---|---|
| Former Name | SANDY MEZA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 61722) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 26144) |
| 225400000X Rehabilitation Practitioner | |
| Enumeration Date | 2007-10-30 |
| Last Update Date | 2022-09-08 |