NPI | 1629734595 |
---|---|
Former Name | JESSICA LYNNE SEMAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC P017860) |
Additional Taxonomies | 104100000X Social Worker |
101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NC 28333) | |
Enumeration Date | 2021-11-15 |
Last Update Date | 2022-09-22 |