| NPI | 1952866337 |
|---|---|
| Former Name | JESSICA KABAO VANG |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OR C6594) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2019-02-09 |
| Last Update Date | 2022-06-22 |