| NPI | 1255521662 |
|---|---|
| Former Name | ANDREA JEAN JESSEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: TN 3533) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health |
| Enumeration Date | 2007-07-31 |
| Last Update Date | 2024-02-08 |