| NPI | 1285905208 |
|---|---|
| Former Name | JESSICA ERIN MEGARY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MD 17253) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MD 17253) |
| Enumeration Date | 2012-01-23 |
| Last Update Date | 2021-05-06 |