| 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 |