NPI | 1710364229 |
---|---|
Former Name | SAMEENA NAWAZ |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 167G00000X Licensed Psychiatric Technician (Licence: CA 37737) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 37737) |
Enumeration Date | 2015-05-05 |
Last Update Date | 2019-06-28 |