| NPI | 1326183286 |
|---|---|
| Former Name | JENEA PALACIO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WP0809X Registered Nurse, Psych/Mental Health, Adult (Licence: CA 95375300) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA vn222246) |
| 164X00000X Licensed Vocational Nurse (Licence: CA 222246) | |
| Enumeration Date | 2007-02-20 |
| Last Update Date | 2024-04-09 |