NPI | 1740869155 |
---|---|
Former Name | JESSICA BROWNRIGG |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor Professional (Licence: WI 10470-125) |
Additional Taxonomies | 101Y00000X Counselor (Licence: WI 4934226) |
Enumeration Date | 2021-04-04 |
Last Update Date | 2024-05-31 |