| NPI | 1285226126 |
|---|---|
| Former Name | CHRISTINA LYNN CASILLAS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: CA ASW112896) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA ASW75395) |
| Enumeration Date | 2021-02-10 |
| Last Update Date | 2024-09-25 |