| NPI | 1700408325 |
|---|---|
| Former Name | JESSICA RUBLE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: PA CW025204) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health |
| Enumeration Date | 2020-05-18 |
| Last Update Date | 2024-10-24 |