| NPI | 1902239726 | 
|---|---|
| Former Name | JESSICA N MCKIMMIE | 
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT102052) | 
| Additional Taxonomies | 106H00000X Marriage & Family Therapist | 
| Enumeration Date | 2013-08-15 | 
| Last Update Date | 2022-03-10 |