NPI | 1548797459 |
---|---|
Former Name | JESSICA GRAHAM |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: TX 81098) |
Additional Taxonomies | 103K00000X Behavior Analyst (Licence: VA 0133002370) |
Enumeration Date | 2017-05-23 |
Last Update Date | 2024-10-28 |