NPI | 1780928424 |
---|---|
Former Name | JESSICA NICOLE RODRIGUEZ |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCSW114622) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA ASW76862) |
101YM0800X Counselor, Mental Health (Licence: CA LCSW114622) | |
1041S0200X Social Worker, School | |
Enumeration Date | 2012-11-19 |
Last Update Date | 2024-10-07 |