| NPI | 1477974137 |
|---|---|
| Former Name | JESSICA HUFFMAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: TN 4428) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: OH C.1200291) |
| Enumeration Date | 2013-12-26 |
| Last Update Date | 2018-12-20 |