NPI | 1285970251 |
---|---|
Former Name | SANDRA XENIA FIERROS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA 86126) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
171M00000X Case Manager/Care Coordinator | |
Enumeration Date | 2012-12-19 |
Last Update Date | 2019-02-20 |