NPI | 1356964654 |
---|---|
Former Name | JESSICA HATCHER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: LA MFT1382) |
Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
Enumeration Date | 2020-05-20 |
Last Update Date | 2022-01-28 |