| NPI | 1174976625 |
|---|---|
| Former Name | JAMIE L MORT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 088113) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 087923) |
| Enumeration Date | 2016-07-20 |
| Last Update Date | 2024-12-19 |