| NPI | 1992859029 |
|---|---|
| Professional Name | JACKIE O BARR FALLS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: AL 12) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: AL 941) |
| Enumeration Date | 2007-01-23 |
| Last Update Date | 2008-02-21 |