| NPI | 1457669079 |
|---|---|
| Former Name | JESSICA BAILEY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: GA LPC008249) |
| Additional Taxonomies | 101YS0200X Counselor, School (Licence: GA 1364633) |
| Enumeration Date | 2010-09-16 |
| Last Update Date | 2024-07-21 |