| NPI | 1033443213 |
|---|---|
| Former Name | JESSICA WHITNEY WEISS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: CW018376) |
| Additional Taxonomies | 104100000X Social Worker (Licence: PA SW126918) |
| Enumeration Date | 2009-09-22 |
| Last Update Date | 2014-12-12 |