| NPI | 1376912162 |
|---|---|
| Former Name | JESSICA PAKAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NY 009621) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2015-09-22 |
| Last Update Date | 2023-09-26 |