| NPI | 1083907299 |
|---|---|
| Former Name | JESSICA DOUGAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: TN 6639) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 104100000X Social Worker | |
| Enumeration Date | 2011-05-20 |
| Last Update Date | 2024-05-06 |