# KEISHAY IZZARD

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1851701809
- **Gender:** F
- **Credential:** E.D

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | — | NULL | — |
| 103K00000X | Behavior Analyst | — | NULL | — |
| 106H00000X | Marriage & Family Therapist | 5682948 | CA | Yes |
| 221700000X | Art Therapist | — | NULL | — |
| 222Q00000X | Developmental Therapist | — | NULL | — |
| 225600000X | Dance Therapist | — | NULL | — |
| 225700000X | Massage Therapist | — | NULL | — |
| 225A00000X | Music Therapist | — | NULL | — |
| 347C00000X | Private Vehicle | — | NULL | — |
| 385HR2055X | Child Mental Illness Respite Care | — | NULL | — |

## Other

- **Enumeration date:** 04/29/2014
- **Last updated:** 08/04/2014