| NPI | 1477159531 | 
|---|---|
| Other Name | JESSIKA DENISE PARKER | 
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA APCC11203)  | 
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA AMFT131422)  | 
| Enumeration Date | 2020-12-04 | 
| Last Update Date | 2022-10-21 |