| NPI | 1073742268 |
|---|---|
| Former Name | SANDRA BAHENA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA PSY29792) |
| Additional Taxonomies | 103T00000X Psychologist |
| 103T00000X Psychologist (Licence: CA PSY29792) | |
| Enumeration Date | 2009-07-08 |
| Last Update Date | 2022-02-14 |