| 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 |