NPI | 1619219904 |
---|---|
Former Name | LIZA MASAR |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TN 6873) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: WI 8019) |
Enumeration Date | 2013-03-25 |
Last Update Date | 2023-01-26 |