NPI | 1124381223 |
---|---|
Former Name | CRYSTAL JASMINE SANCHEZ |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCSW99986) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA 78155) |
Enumeration Date | 2012-06-22 |
Last Update Date | 2021-08-23 |