| NPI | 1649667205 |
|---|---|
| Former Name | JESSICA L WOOD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: MI 6801097267) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MI 6801097267) |
| Enumeration Date | 2015-04-22 |
| Last Update Date | 2024-09-04 |