NPI | 1669037883 |
---|---|
Former Name | JESSICA ALLYSSA STEFFAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101Y00000X Counselor (Licence: CA LMFT117187) |
Additional Taxonomies | 101Y00000X Counselor |
106H00000X Marriage & Family Therapist (Licence: CA 117187) | |
Enumeration Date | 2019-05-02 |
Last Update Date | 2021-01-22 |