NPI | 1407033921 |
---|---|
Former Name | JESSICA PAIGE HALL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: TN 5549) |
Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: KY 283712) |
Enumeration Date | 2008-01-28 |
Last Update Date | 2025-08-26 |