| NPI | 1093407173 |
|---|---|
| Doing Business As | JESSICA WILEY THERAPY, LLC |
| Entity Type | Organization |
| Authorized Contact | JESSICA WILEY Owner 217-819-0043 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101Y00000X Counselor |
| Enumeration Date | 2023-05-25 |
| Last Update Date | 2023-08-02 |