NPI | 1700302247 |
---|---|
Former Name | MONIQUE D MARTIN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: CA 101302) |
Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: CA 83521) |
225400000X Rehabilitation Practitioner | |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2017-08-16 |
Last Update Date | 2024-02-20 |