| NPI | 1528536760 |
|---|---|
| Former Name | DIANDRA ELISE CARSTENSEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCSW101217) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA ASW78774) |
| Enumeration Date | 2018-11-06 |
| Last Update Date | 2021-05-03 |