| NPI | 1548743180 |
|---|---|
| Former Name | JACQUELYN SIMPSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: CA 93116) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: CA ASW60910) |
| Enumeration Date | 2018-09-10 |
| Last Update Date | 2023-04-25 |