NPI | 1679927388 |
---|---|
Former Name | JESSICA LYNN MCGARITY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TN 7140) |
Additional Taxonomies | 104100000X Social Worker (Licence: TN LSW11575) |
1041C0700X Social Worker, Clinical (Licence: NY 095721) | |
Enumeration Date | 2016-04-19 |
Last Update Date | 2023-09-07 |