| NPI | 1790810588 |
|---|---|
| Former Name | CHRISTIE LYNNE PANGANIBAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA ASW19889) |
| Additional Taxonomies | 104100000X Social Worker (Licence: CA ASW19889) |
| 1041C0700X Social Worker, Clinical (Licence: CA ASW19889) | |
| Enumeration Date | 2007-02-22 |
| Last Update Date | 2007-07-08 |