| NPI | 1093952004 |
|---|---|
| Former Name | JESSICA LYTLE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OH E.1800905) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 101YM0800X Counselor, Mental Health (Licence: OH C.1200221) | |
| Enumeration Date | 2009-01-13 |
| Last Update Date | 2018-10-23 |