| NPI | 1669839502 |
|---|---|
| Former Name | JACQUELINE FREITAS VITAL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OK LPC07027) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OK LPC07027) |
| Enumeration Date | 2016-01-22 |
| Last Update Date | 2025-01-15 |