| NPI | 1194296459 |
|---|---|
| Former Name | JESSICA CHAVIE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MN 3510) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: MN 2014) |
| Enumeration Date | 2018-12-16 |
| Last Update Date | 2023-10-17 |