| NPI | 1952463226 |
|---|---|
| Other Name | DOUGLAS S JARDINE |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: AZ LMFT10136) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: AZ 10136) |
| 106H00000X Marriage & Family Therapist (Licence: AZ 11406) | |
| Enumeration Date | 2006-12-14 |
| Last Update Date | 2022-07-21 |