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 |