| NPI | 1770897787 |
|---|---|
| Former Name | JESSICA VAUGHAN LEFFERTS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: CA PSY26428) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2010-08-02 |
| Last Update Date | 2022-12-01 |