| NPI | 1679708390 |
|---|---|
| Other Name | JESSICA JAMES |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: WI 5854-125) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 101YP2500X Counselor, Professional (Licence: CO LPC.0011615) | |
| Enumeration Date | 2009-05-26 |
| Last Update Date | 2016-08-19 |