| NPI | 1275812414 |
|---|---|
| Former Name | JESSICA ANN BOHI |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: IL 149015311) |
| Additional Taxonomies | 104100000X Social Worker (Licence: IL 150012651) |
| Enumeration Date | 2011-08-05 |
| Last Update Date | 2013-01-31 |