| NPI | 1518524156 |
|---|---|
| Former Name | JESSICA SPINELLI SUDOL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NY 002961) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CT 3944) |
| 1041C0700X Social Worker, Clinical (Licence: CT 6977) | |
| 225C00000X Rehabilitation Counselor | |
| Enumeration Date | 2019-05-20 |
| Last Update Date | 2023-08-08 |