| NPI | 1629271325 |
|---|---|
| Former Name | JACQUELINE ALICE SMITH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 48253) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA IMF47159) |
| Enumeration Date | 2007-06-08 |
| Last Update Date | 2024-05-28 |