| NPI | 1467811380 |
|---|---|
| Professional Name | JEANIE CHANG |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: NC 1872) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: NC 11031A) |
| Enumeration Date | 2016-02-20 |
| Last Update Date | 2019-10-21 |