| NPI | 1356798821 |
|---|---|
| Former Name | JESSICA LYNN CUZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801099452) |
| Additional Taxonomies | 104100000X Social Worker |
| Enumeration Date | 2016-05-15 |
| Last Update Date | 2023-02-12 |