NPI | 1922515758 |
---|---|
Former Name | JESSICA SOLANO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801108015) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MI 6801100419) |
1041C0700X Social Worker, Clinical | |
Enumeration Date | 2018-01-02 |
Last Update Date | 2021-07-20 |