NPI | 1841442779 |
---|---|
Former Name | JACQUELINE ANGEL TERZIAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCSW79841) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
101YM0800X Counselor, Mental Health (Licence: CA LCSW79841) | |
Enumeration Date | 2008-10-22 |
Last Update Date | 2017-10-23 |