NPI | 1720450208 |
---|---|
Former Name | JENAYA NORFLEET |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCSW81495) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA ASW61509) |
Enumeration Date | 2015-10-23 |
Last Update Date | 2025-03-18 |