| NPI | 1295911766 |
|---|---|
| Former Name | JACQUELIN MICHELLE MUNOZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA LH60160343) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: WA RC00058273) |
| Enumeration Date | 2008-01-15 |
| Last Update Date | 2010-08-09 |