| NPI | 1134399736 |
|---|---|
| Former Name | JESSICA RODRIGUEZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 071598) |
| 104100000X Social Worker (Licence: NY 077697) | |
| Enumeration Date | 2008-03-10 |
| Last Update Date | 2016-07-20 |