| NPI | 1447763743 |
|---|---|
| Former Name | JESSICA CANAS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: FL SW13782) |
| Enumeration Date | 2017-11-08 |
| Last Update Date | 2017-11-08 |