| NPI | 1013204767 |
|---|---|
| Other Name | KRISTEN MICHELLE JACQUES |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA 121364) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MA 217194) |
| Enumeration Date | 2011-07-01 |
| Last Update Date | 2024-04-10 |