| NPI | 1043551245 |
|---|---|
| Former Name | JESSICA LEIGH HASTY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH15444) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2013-03-13 |
| Last Update Date | 2019-05-14 |