| NPI | 1124720537 |
|---|---|
| Other Name | JESSIE K POONI |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health |
| Additional Taxonomies | 172V00000X Community Health Worker |
| Enumeration Date | 2023-03-20 |
| Last Update Date | 2023-05-26 |