| NPI | 1235535923 |
|---|---|
| Former Name | JESSICA PUGH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: WY LPC-2091) |
| Additional Taxonomies | 101Y00000X Counselor |
| 103TC1900X Psychologist, Counseling | |
| Enumeration Date | 2014-11-07 |
| Last Update Date | 2025-01-09 |