| NPI | 1902272990 |
|---|---|
| Former Name | JESSYCA NECHELLE OPP-SOBANIA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: WA MC6081310) |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: WA CP60943211) |
| Enumeration Date | 2015-08-13 |
| Last Update Date | 2021-12-31 |