NPI | 1366794851 |
---|---|
Former Name | JACLYN HOPE FERBER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 76978) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA ASW#33991) |
104100000X Social Worker (Licence: CA ASW 33991) | |
Enumeration Date | 2012-10-08 |
Last Update Date | 2024-03-13 |