| NPI | 1164976965 |
|---|---|
| Other Name | FAE CASEYLINE FERNANDEZ FELICIANO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 103952) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA ASW77979) |
| Enumeration Date | 2016-08-09 |
| Last Update Date | 2021-10-05 |