| NPI | 1457879504 |
|---|---|
| Former Name | JESSICA CAROL SUITOR |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: AR 8123-C) |
| Additional Taxonomies | 104100000X Social Worker |
| Enumeration Date | 2017-09-08 |
| Last Update Date | 2023-03-06 |