| 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 |