| NPI | 1154138626 |
|---|---|
| Former Name | JESSICA REGINA RENE FURE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health |
| Additional Taxonomies | 101Y00000X Counselor |
| Enumeration Date | 2024-12-17 |
| Last Update Date | 2024-12-17 |