NPI | 1841535150 |
---|---|
Former Name | JENNIFER REYES |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCSW99808) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: OR L6727) |
Enumeration Date | 2012-11-28 |
Last Update Date | 2023-01-23 |