| NPI | 1205497906 | 
|---|---|
| Former Name | SANDRA E SANTOS | 
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA ACSW99397)  | 
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program | 
| Enumeration Date | 2019-06-24 | 
| Last Update Date | 2021-03-24 |