| NPI | 1306462718 |
|---|---|
| Former Name | JILLIAN ELISE JEFFRIES |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 151704) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: TX 205910) |
| 106S00000X Behavior Technician | |
| Enumeration Date | 2020-06-22 |
| Last Update Date | 2025-02-17 |