| NPI | 1316422298 |
|---|---|
| Former Name | JESSICA RYAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041S0200X Social Worker, School (Licence: NE 4831) |
| Additional Taxonomies | 1041S0200X Social Worker, School (Licence: NE 1666) |
| Enumeration Date | 2018-09-26 |
| Last Update Date | 2018-09-26 |