NPI | 1497421093 |
---|---|
Former Name | JAZMINE ALEXANDRIA BUREL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 120102) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 95209) |
Enumeration Date | 2021-08-23 |
Last Update Date | 2024-05-03 |