| NPI | 1447654165 |
|---|---|
| Former Name | JESSICA NORIE SOON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 114906) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 101YM0800X Counselor, Mental Health (Licence: CA 84171) | |
| Enumeration Date | 2014-10-09 |
| Last Update Date | 2019-10-09 |