| NPI | 1366009730 |
|---|---|
| Former Name | OLGA CARMONA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 129789) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2019-05-21 |
| Last Update Date | 2025-06-30 |