NPI | 1871929034 |
---|---|
Former Name | JESSICA VU |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: CA 69106) |
Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: CA 69106) |
104100000X Social Worker (Licence: CA 32053) | |
Enumeration Date | 2013-09-19 |
Last Update Date | 2019-12-03 |