NPI | 1356822365 |
---|---|
Former Name | AMBER RASHAWN MANN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCSW105877) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 83016) |
1041C0700X Social Worker, Clinical (Licence: CA 105877) | |
Enumeration Date | 2018-08-27 |
Last Update Date | 2022-01-07 |