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 |