| NPI | 1164076238 |
|---|---|
| Former Name | JESSICA NICOLE LUNSFORD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NC A15043) |
| Additional Taxonomies | 225C00000X Rehabilitation Counselor (Licence: 00326695) |
| Enumeration Date | 2019-07-27 |
| Last Update Date | 2019-07-27 |