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Individual
MS. DIANE HIRA ROSE
Active
Individual
MS. DIANE HIRA ROSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LMFT
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MFT14248
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
241345
VALUE OPTIONS
CA
Enumeration date
09/28/2009
Last updated
09/28/2009
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