| NPI | 1649337445 |
|---|---|
| Former Name | JESSICA LEIGH PROKASH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA LH00011027) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: WA RC00050490) |
| Enumeration Date | 2007-01-02 |
| Last Update Date | 2008-10-22 |