| NPI | 1184707929 |
|---|---|
| Former Name | CHRISTINA MARIE JAKSA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MI 6301014641) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: MI 6301012781) |
| Enumeration Date | 2006-10-23 |
| Last Update Date | 2024-05-09 |