| NPI | 1427474253 |
|---|---|
| Former Name | JESSICA MARIE KENNEDY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: PA PC010423) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CA PCCI3527) |
| Enumeration Date | 2014-03-18 |
| Last Update Date | 2023-01-26 |