| NPI | 1689962094 |
|---|---|
| Former Name | JESSICA R ESTABROOK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: ME LC14256) |
| Additional Taxonomies | 104100000X Social Worker (Licence: ME LC14256) |
| 104100000X Social Worker (Licence: ME MC13048) | |
| Enumeration Date | 2011-07-19 |
| Last Update Date | 2020-07-13 |