| NPI | 1609196468 |
|---|---|
| Former Name | JESSICA ELDER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: UT 7359245-3501) |
| Additional Taxonomies | 104100000X Social Worker (Licence: UT 73592453502) |
| Enumeration Date | 2010-06-03 |
| Last Update Date | 2022-10-05 |