| NPI | 1407391295 |
|---|---|
| Former Name | JACQULINE NICOLE WATSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OH E.1901080-SUPV) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OH C1500158) |
| 101YP2500X Counselor, Professional (Licence: OH E.1901080) | |
| Enumeration Date | 2017-01-03 |
| Last Update Date | 2020-08-04 |