NPI | 1376111567 |
---|---|
Former Name | JESSALYN J COTE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 131755) |
Additional Taxonomies | 101YM0800X Counselor Mental Health |
Enumeration Date | 2021-06-14 |
Last Update Date | 2023-06-23 |