| NPI | 1639549991 |
|---|---|
| Other Name | JOSUE ENRIQUEZ |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCSW109993) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA ASW78569) |
| Enumeration Date | 2015-09-30 |
| Last Update Date | 2024-05-07 |