| NPI | 1396204756 |
|---|---|
| Former Name | JESSICA LEIGH MICHAELS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041S0200X Social Worker, School (Licence: NE 11652) |
| Additional Taxonomies | 1041S0200X Social Worker, School (Licence: NE 7303) |
| Enumeration Date | 2019-03-15 |
| Last Update Date | 2019-03-15 |