| NPI | 1558649228 |
|---|---|
| Former Name | JESSICA ANN BUCKEL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 101Y00000X Counselor |
| Enumeration Date | 2011-07-29 |
| Last Update Date | 2012-08-12 |