NPI | 1548778426 |
---|---|
Former Name | JESSICA PAIGE ISBELL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 82103) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: TX 82103) |
101YP2500X Counselor, Professional (Licence: AL 3828) | |
106H00000X Marriage & Family Therapist (Licence: TX 82103) | |
101Y00000X Counselor (Licence: TX 82103) | |
Enumeration Date | 2018-01-13 |
Last Update Date | 2024-06-12 |