| NPI | 1154506053 |
|---|---|
| Former Name | JESSICA NANCE D. PARKER, MITCHELL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CO 5696) |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| Enumeration Date | 2008-01-09 |
| Last Update Date | 2012-06-20 |