NPI | 1942450168 |
---|---|
Other Name | JAYCELLE MONSANTO BASFORD-PEQUET |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 29628) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
Enumeration Date | 2008-09-24 |
Last Update Date | 2011-01-31 |