| NPI | 1891946406 |
|---|---|
| Former Name | JESSICA LYNN PERRY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: WA PY60253462) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2008-10-02 |
| Last Update Date | 2022-03-29 |