| NPI | 1831358209 |
|---|---|
| Former Name | JESSICA CLEVELAND |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2008-06-02 |
| Last Update Date | 2024-10-22 |