| NPI | 1902395130 |
|---|---|
| Other Name | JESSICA ANDREA MARCA RENGIFO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCSW104992) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA ASW76609) |
| Enumeration Date | 2018-05-03 |
| Last Update Date | 2022-03-09 |