| NPI | 1194339978 |
|---|---|
| Former Name | JESSICA DRAKE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VA 0904009009) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: DC LC50078761) |
| Enumeration Date | 2020-08-31 |
| Last Update Date | 2021-10-22 |