NPI | 1871079988 |
---|---|
Former Name | JESSICA ROSALES |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 104100000X Social Worker (Licence: CA 92792) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
Enumeration Date | 2018-07-12 |
Last Update Date | 2020-12-07 |