| NPI | 1366678062 |
|---|---|
| Former Name | JESSICA LYNN KULIG |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MA 7685) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2009-06-09 |
| Last Update Date | 2015-12-17 |