NPI | 1245631761 |
---|---|
Former Name | JESSICA FAITH SARA HARKINS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: SC 8543) |
Additional Taxonomies | 101Y00000X Counselor |
Enumeration Date | 2014-09-16 |
Last Update Date | 2023-10-23 |