| NPI | 1649051277 |
|---|---|
| Former Name | JESSICA EGAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: WA SC70028483) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: WA CG61613884) |
| Enumeration Date | 2023-10-10 |
| Last Update Date | 2025-12-04 |