| NPI | 1154269108 |
|---|---|
| Former Name | JESSICA ANN COLLINS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH15483) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: GA LPC016397) |
| Enumeration Date | 2026-03-23 |
| Last Update Date | 2026-04-02 |