| NPI | 1710329818 |
|---|---|
| Former Name | JESSICA THEEL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: WI 131815) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
| Enumeration Date | 2013-07-18 |
| Last Update Date | 2023-06-13 |