| NPI | 1811262314 |
|---|---|
| Former Name | JESSICA ANN WOLLHISER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: NE 5155) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator (Licence: NE 5155) |
| Enumeration Date | 2012-03-15 |
| Last Update Date | 2020-08-07 |