NPI | 1609991686 |
---|---|
Former Name | JESSICA ERIN PATTERSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NM 0092141) |
Additional Taxonomies | 174400000X Specialist (Licence: NM 0092141) |
Enumeration Date | 2007-03-20 |
Last Update Date | 2022-04-25 |