| NPI | 1629226865 |
|---|---|
| Former Name | JESSICA MARIE DOSAL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: AL 2364C) |
| Additional Taxonomies | 104100000X Social Worker |
| 104100000X Social Worker (Licence: AL 2575G) | |
| Enumeration Date | 2008-08-29 |
| Last Update Date | 2011-04-07 |