| NPI | 1255967659 |
|---|---|
| Other Name | JESSICA BORDLEMAY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: TX 203094) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: TX 68336) |
| 101YP2500X Counselor, Professional (Licence: TX 68336) | |
| Enumeration Date | 2020-03-17 |
| Last Update Date | 2024-07-02 |