| NPI | 1518653807 |
|---|---|
| Former Name | JESSY COULTER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA AMFT137996) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: CA APCC13111) |
| Enumeration Date | 2023-04-11 |
| Last Update Date | 2024-05-24 |