NPI | 1952434003 |
---|---|
Former Name | JODI JACOBSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA MFC45503) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CA LPC857) |
Enumeration Date | 2007-03-14 |
Last Update Date | 2015-03-31 |