NPI | 1003498627 |
---|---|
Former Name | JACQUE ALICE ENGEL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 171M00000X Case Manager/Care Coordinator (Licence: CA 122083) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 122083) |
Enumeration Date | 2021-04-23 |
Last Update Date | 2024-04-11 |