| NPI | 1194267419 |
|---|---|
| Former Name | JACQUELINE R MASON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: NM C-11118) |
| Additional Taxonomies | 104100000X Social Worker (Licence: OH S1601116) |
| Enumeration Date | 2016-11-17 |
| Last Update Date | 2024-02-09 |