NPI | 1275189987 |
---|---|
Former Name | JESSICA SUZANNE DREW |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL mh22113) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
Enumeration Date | 2019-08-18 |
Last Update Date | 2025-02-14 |