| NPI | 1063649135 |
|---|---|
| Other Name | JACQUELINE EYERLY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA MFC49003) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA MFC49003) |
| 101YP2500X Counselor, Professional (Licence: CA LPCC#675) | |
| Enumeration Date | 2009-06-16 |
| Last Update Date | 2021-03-25 |