NPI | 1427538990 |
---|---|
Former Name | JESSICA NICOLE GARCIA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OK 11486) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: TX 76423) |
Enumeration Date | 2018-08-15 |
Last Update Date | 2023-09-12 |