| NPI | 1992109581 |
|---|---|
| Former Name | AYESHA LIVAS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: LA 6998) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: LA 3398) |
| Enumeration Date | 2014-10-10 |
| Last Update Date | 2022-06-17 |