NPI | 1578035069 |
---|---|
Former Name | JESSICA RAE LLOYD |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: PA PC010966) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: PA PC010966) |
Enumeration Date | 2018-12-20 |
Last Update Date | 2018-12-20 |