NPI | 1851775704 |
---|---|
Former Name | JESSICA HAKLAR |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: PA PC009799) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
Enumeration Date | 2015-07-09 |
Last Update Date | 2020-09-25 |