| NPI | 1588246789 |
|---|---|
| Former Name | JESSICA SLOVER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: IL 180013544) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: IA 106271) |
| Enumeration Date | 2021-04-27 |
| Last Update Date | 2024-04-23 |