| NPI | 1114190386 |
|---|---|
| Former Name | JACQUELINE SILVA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 52139) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2008-04-09 |
| Last Update Date | 2021-03-11 |