| NPI | 1619317583 |
|---|---|
| Former Name | JESSICA TILMANN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C009629) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NC P008181) |
| Enumeration Date | 2013-06-25 |
| Last Update Date | 2020-10-30 |