| NPI | 1740691351 |
|---|---|
| Former Name | JESSICA GAIL KONKLER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: WA LH61027977) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: WA MC60799054) |
| 101YM0800X Counselor Mental Health | |
| Enumeration Date | 2014-05-16 |
| Last Update Date | 2023-03-29 |