NPI | 1184189060 |
---|---|
Former Name | JAMIE ANN GROSS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 104100000X Social Worker |
Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: CO CSW.09931683) |
Enumeration Date | 2019-02-05 |
Last Update Date | 2025-05-09 |