| NPI | 1710300488 |
|---|---|
| Former Name | JESSICA NAMI |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NY 005763) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NY 28166) |
| 101YM0800X Counselor, Mental Health (Licence: NY 005763-1) | |
| Enumeration Date | 2014-01-30 |
| Last Update Date | 2019-09-05 |