NPI | 1629426671 |
---|---|
Former Name | JESSICA GEISER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: MS T-10765) |
Additional Taxonomies | 101Y00000X Counselor (Licence: WA CG60587532) |
103K00000X Behavior Analyst | |
Enumeration Date | 2016-06-01 |
Last Update Date | 2024-03-04 |