NPI | 1104221712 |
---|---|
Other Name | KARLA GABRIELA SANDOVAL ANTE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA 147707) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 100677) |
106H00000X Marriage & Family Therapist (Licence: CA 100677) | |
225400000X Rehabilitation Practitioner | |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2014-10-24 |
Last Update Date | 2024-08-01 |