| NPI | 1255113445 |
|---|---|
| Former Name | JESSICA ANN BOATRIGHT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 68220) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: TX 15858) |
| Enumeration Date | 2023-10-20 |
| Last Update Date | 2023-10-20 |