| NPI | 1609117316 |
|---|---|
| Former Name | JESSICA A BIBA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: WI 5661-125) |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: WI 16090-132) |
| Enumeration Date | 2013-03-05 |
| Last Update Date | 2018-03-06 |