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 |