| NPI | 1205618816 |
|---|---|
| Former Name | JACQUELINE LOGAN REED |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 118643) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2023-10-18 |
| Last Update Date | 2023-10-18 |