| NPI | 1578672465 |
|---|---|
| Former Name | JACQUELINE MARIE GARNER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCS24751) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2021-01-07 |