| NPI | 1609326859 |
|---|---|
| Other Name | AMY BUSTAMANTE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 93430) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 72874) |
| Enumeration Date | 2016-10-12 |
| Last Update Date | 2023-07-31 |