| NPI | 1942755236 |
|---|---|
| Former Name | JESSICA BLASI |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: AZ 15816) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: KS 1555) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: KS 723) | |
| 106H00000X Marriage & Family Therapist (Licence: KS 2606) | |
| Enumeration Date | 2016-08-17 |
| Last Update Date | 2023-10-31 |