NPI | 1851680946 |
---|---|
Other Name | JACKIE REITSMA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CO LPC.0005901) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CO 5901) |
Enumeration Date | 2011-03-30 |
Last Update Date | 2024-01-18 |