NPI | 1720101355 |
---|---|
Former Name | JESSICA KIRKPATRICK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: AR P1006033) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
Enumeration Date | 2007-04-09 |
Last Update Date | 2014-06-03 |