NPI | 1881275402 |
---|---|
Former Name | JAQUELYNN RENATE ZEEB |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 148173) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
Enumeration Date | 2021-04-15 |
Last Update Date | 2024-10-14 |