NPI | 1194074047 |
---|---|
Former Name | JENNIFER BETH HERRERA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA 75219) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA 36188) |
101Y00000X Counselor | |
101YM0800X Counselor, Mental Health | |
Enumeration Date | 2012-09-06 |
Last Update Date | 2018-06-05 |