| NPI | 1225297609 |
|---|---|
| Former Name | JESSICA LEIGH MACAULAY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TA0400X Psychologist Addiction (Substance Use Disorder) (Licence: CA PSB94021710) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health |
| Enumeration Date | 2008-06-02 |
| Last Update Date | 2016-02-26 |