| NPI | 1154683753 |
|---|---|
| Former Name | JESSICA KENNEDY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 102915) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 102915) |
| Enumeration Date | 2012-06-11 |
| Last Update Date | 2023-04-17 |