| 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 |