NPI | 1619297900 |
---|---|
Former Name | JESSICA HOWELL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: AR P1412111) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: AR P1412111) |
Enumeration Date | 2010-06-09 |
Last Update Date | 2016-08-25 |