| NPI | 1730660077 |
|---|---|
| Former Name | ANASTASIA JACOBS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NH 1010) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2018-08-24 |
| Last Update Date | 2024-12-11 |