| NPI | 1104551688 |
|---|---|
| Former Name | JACKIE BICAS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 148767) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 21572) |
| Enumeration Date | 2022-07-19 |
| Last Update Date | 2026-01-06 |