| NPI | 1912401068 |
|---|---|
| Other Name | LISA MARIE JACQUES-QUINTANA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH12252) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: FL MH12252) |
| Enumeration Date | 2018-03-22 |
| Last Update Date | 2022-07-28 |