| NPI | 1114429701 |
|---|---|
| Professional Name | CJ MEDINA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCSW116770) |
| Additional Taxonomies | 1041S0200X Social Worker, School (Licence: CA ASW75307) |
| Enumeration Date | 2018-02-28 |
| Last Update Date | 2024-06-28 |