| NPI | 1255520284 |
|---|---|
| Former Name | JESSICA LYNN HARRIS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CA 1141) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: IL 180.007403) |
| Enumeration Date | 2007-10-16 |
| Last Update Date | 2021-01-28 |