| NPI | 1467238840 |
|---|---|
| Former Name | JESSICA RYAN GRAVES |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CA 18119) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
| Enumeration Date | 2023-09-01 |
| Last Update Date | 2025-01-22 |