| NPI | 1215709845 |
|---|---|
| Former Name | JESSICA ANN PEREZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA R1404910920) |
| Enumeration Date | 2023-10-26 |
| Last Update Date | 2024-08-14 |