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 |