| NPI | 1285120147 |
|---|---|
| Former Name | JESSICA NICOLE ATWOOD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: KS 9552) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MO 2015040913) |
| Enumeration Date | 2018-07-03 |
| Last Update Date | 2018-07-03 |