| NPI | 1538808928 |
|---|---|
| Former Name | JESSICA KEIRSTEN MCLEOD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: KY 301563) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: KY 301563) |
| Enumeration Date | 2022-06-02 |
| Last Update Date | 2025-08-25 |