NPI | 1720174204 |
---|---|
Other Name | JACQUELINE ANNE DURTSCHE-CAVALLARO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCS 22067) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA LCS22067) |
Enumeration Date | 2006-10-04 |
Last Update Date | 2023-08-24 |