| NPI | 1679866230 |
|---|---|
| Former Name | JESSICA STEWARD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MA 8450) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2011-05-16 |
| Last Update Date | 2020-03-03 |