NPI | 1992192918 |
---|---|
Former Name | ESTHER JACOBS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: OR 3039) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
101YM0800X Counselor, Mental Health | |
103TC0700X Psychologist, Clinical (Licence: WA PY60792046) | |
Enumeration Date | 2015-04-16 |
Last Update Date | 2022-06-08 |