| NPI | 1013257823 |
|---|---|
| Former Name | JESSICA MARGARET DEVORE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149019119) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: WV BP00944213) |
| Enumeration Date | 2013-02-15 |
| Last Update Date | 2024-04-18 |