| NPI | 1720361678 |
|---|---|
| Former Name | LIZETH RUIZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 128742) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 128742) |
| 282NC2000X General Acute Care Hospital, Children (Licence: CA 390200000x) | |
| Enumeration Date | 2011-09-27 |
| Last Update Date | 2025-03-12 |