NPI | 1760790679 |
---|---|
Former Name | JESSICA ANN SOMMER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: AZ LPC-18497) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: PA PC005322) |
Enumeration Date | 2010-09-14 |
Last Update Date | 2024-05-28 |