| NPI | 1467887083 |
|---|---|
| Former Name | JANE ALTAVAS SIA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCSW102483) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA ASW 66918) |
| 1041C0700X Social Worker, Clinical (Licence: CA 1014ya0400x) | |
| 1041C0700X Social Worker, Clinical (Licence: CA 102483) | |
| Enumeration Date | 2013-09-13 |
| Last Update Date | 2021-11-09 |