| NPI | 1700170370 |
|---|---|
| Former Name | JACQUELINE KEENAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: NV 01351) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NV 00485-LC) |
| 106H00000X Marriage & Family Therapist (Licence: CA MFC 44416) | |
| Enumeration Date | 2011-06-01 |
| Last Update Date | 2025-04-10 |