| NPI | 1609572759 |
|---|---|
| Former Name | JESSICA TARYN BRANCH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: WA CG61230746) |
| Additional Taxonomies | 175T00000X Peer Specialist |
| Enumeration Date | 2023-01-31 |
| Last Update Date | 2023-03-15 |