| NPI | 1295991792 |
|---|---|
| Former Name | JESSICA DINWIDDIE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VT 089-0082852) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MA 215105) |
| Enumeration Date | 2008-08-04 |
| Last Update Date | 2015-09-29 |