NPI | 1023273778 |
---|---|
Former Name | JESSICA PANAICH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: IN 39003442A) |
Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
Enumeration Date | 2008-07-22 |
Last Update Date | 2023-02-24 |