| NPI | 1679729206 |
|---|---|
| Former Name | JESSICA ANN KNOLL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 079377) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 079377-1) |
| 1041C0700X Social Worker, Clinical (Licence: NJ 44SC5811000) | |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NY CASAC-23901) | |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NY 23901) | |
| Enumeration Date | 2008-08-14 |
| Last Update Date | 2025-10-02 |