NPI | 1548655335 |
---|---|
Other Name | JESSICA WHITE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH24696) |
Additional Taxonomies | 101Y00000X Counselor (Licence: PA PC008084) |
Enumeration Date | 2015-03-30 |
Last Update Date | 2025-02-07 |