| NPI | 1124572748 |
|---|---|
| Former Name | AMY JAEL GOMEZ CASTANEDA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: CA 90710) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical |
| Enumeration Date | 2016-08-11 |
| Last Update Date | 2023-09-07 |