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 |