NPI | 1346302528 |
---|---|
Former Name | JESSICA BETSY ROSE BISKIND |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor Professional (Licence: OR 2412) |
Additional Taxonomies | 101YM0800X Counselor Mental Health |
106H00000X Marriage & Family Therapist (Licence: CA 79864) | |
101YM0800X Counselor Mental Health (Licence: OR C2412) | |
Enumeration Date | 2006-12-14 |
Last Update Date | 2015-03-27 |