| NPI | 1952676983 |
|---|---|
| Former Name | JESSICA A CRISE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OK 1321) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OK 1321) |
| Enumeration Date | 2012-03-08 |
| Last Update Date | 2022-08-16 |