NPI | 1952723710 |
---|---|
Former Name | JEANETTE ROSADO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA ASW82042) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 82042) |
104100000X Social Worker (Licence: CA ASW82042) | |
Enumeration Date | 2014-01-14 |
Last Update Date | 2023-10-25 |