NPI | 1023541901 |
---|---|
Former Name | JESSICA WRIGHT HOLT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CO 09926073) |
Additional Taxonomies | 101Y00000X Counselor |
Enumeration Date | 2017-04-06 |
Last Update Date | 2021-08-10 |