NPI | 1275028193 |
---|---|
Other Name | JACQUELINE YVONNE REESE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC1900X Psychologist, Counseling (Licence: MO 2017042119) |
Additional Taxonomies | 103TC1900X Psychologist, Counseling (Licence: TX 39071) |
Enumeration Date | 2018-06-22 |
Last Update Date | 2023-02-01 |