NPI | 1205118528 |
---|---|
Former Name | JESSICA LEIGH HAMEL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: WY LPC-1366) |
Additional Taxonomies | 101Y00000X Counselor (Licence: WY 621) |
Enumeration Date | 2011-09-13 |
Last Update Date | 2023-03-16 |