NPI | 1245360270 |
---|---|
Former Name | JESSICA PAWLOWSKI |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA 126757) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: RI ISW01816) |
Enumeration Date | 2007-03-07 |
Last Update Date | 2025-07-02 |