NPI | 1548678899 |
---|---|
Former Name | JESSICA NEWTON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 103311) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: PA CW019443) |
Enumeration Date | 2014-07-31 |
Last Update Date | 2020-11-24 |