| NPI | 1992139307 |
|---|---|
| Other Name | JACKIE BACANI VARGAS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 283Q00000X Psychiatric Hospital |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist |
| Enumeration Date | 2013-08-21 |
| Last Update Date | 2024-04-19 |