| NPI | 1962868505 |
|---|---|
| Former Name | SHAYNA JOY DIAZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NC 17510) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NC LCAS-28067) |
| 101YM0800X Counselor, Mental Health (Licence: OR C5598) | |
| Enumeration Date | 2016-01-12 |
| Last Update Date | 2025-01-07 |