| NPI | 1053002485 |
|---|---|
| Former Name | JEAN HARRIS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MO 2023025548) |
| Additional Taxonomies | 104100000X Social Worker (Licence: TX 31998) |
| Enumeration Date | 2023-05-17 |
| Last Update Date | 2023-07-24 |