| NPI | 1770096323 |
|---|---|
| Former Name | JESSICA PEREZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CA 10095) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 4531) |
| Enumeration Date | 2017-11-06 |
| Last Update Date | 2026-10-16 |