| NPI | 1972925626 |
|---|---|
| Former Name | JESSICA ALFANO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2014-01-15 |
| Last Update Date | 2020-02-06 |