| NPI | 1841641479 |
|---|---|
| Former Name | JESSICA HARMON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NM CCMH0222881) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NM CMH0202951) |
| 106S00000X Behavior Technician | |
| Enumeration Date | 2016-06-24 |
| Last Update Date | 2022-02-17 |