NPI | 1982479044 |
---|---|
Former Name | JESSICA EMILY DEAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OR T-23-3272) |
Enumeration Date | 2023-11-20 |
Last Update Date | 2023-11-20 |