| NPI | 1376992867 |
|---|---|
| Other Name | JACKIE OLIVIA CHILDS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 122336) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: CA f2928188) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2016-06-06 |
| Last Update Date | 2020-10-29 |