| NPI | 1699984542 |
|---|---|
| Former Name | JACQUELINE WILLIAMS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 87056) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MT 70359) |
| 106H00000X Marriage & Family Therapist (Licence: MT 461) | |
| Enumeration Date | 2007-05-21 |
| Last Update Date | 2024-03-21 |