| NPI | 1154744365 |
|---|---|
| Former Name | JESSICA PATRICIA WALKER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
| Enumeration Date | 2014-01-23 |
| Last Update Date | 2014-01-23 |