| NPI | 1639520661 |
|---|---|
| Other Name | JACKIE S CARRASCO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 97233) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2016-06-30 |
| Last Update Date | 2020-11-09 |