| NPI | 1952611964 |
|---|---|
| Former Name | JESSICA MERRILL JENKINS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2010-10-13 |
| Last Update Date | 2020-10-07 |