| NPI | 1104352244 |
|---|---|
| Former Name | JESSICA LEE BAILEY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MI 6401017384) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MI 6401015890) |
| Enumeration Date | 2017-05-11 |
| Last Update Date | 2022-08-08 |