| NPI | 1548816333 |
|---|---|
| Former Name | JACQUELINE DORANTES |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: IN 33008998A) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IN 34010715A) |
| Enumeration Date | 2019-08-16 |
| Last Update Date | 2023-10-17 |