| NPI | 1215569991 |
|---|---|
| Former Name | JESSICA LYNN PEPPLE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MI 6401223466) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: MI 6401223466) |
| 101YM0800X Counselor, Mental Health | |
| Enumeration Date | 2020-02-10 |
| Last Update Date | 2024-02-15 |