| NPI | 1801985866 |
|---|---|
| Former Name | BIANCA DE ANDA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 80366) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 80366) |
| 101YP2500X Counselor, Professional (Licence: CA 80366) | |
| 104100000X Social Worker (Licence: CA 80366) | |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: CA 80366) | |
| Enumeration Date | 2006-10-11 |
| Last Update Date | 2024-08-08 |