| NPI | 1629413026 |
|---|---|
| Former Name | JACQUELINE JAMES |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: OK 6128) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2013-04-30 |
| Last Update Date | 2021-02-02 |