| NPI | 1528336328 |
|---|---|
| Former Name | JESSICA FOX |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP1600X Counselor, Pastoral (Licence: IL 180.007767) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: IL 180.007767) |
| Enumeration Date | 2011-12-07 |
| Last Update Date | 2015-10-01 |