| NPI | 1750544086 |
|---|---|
| Former Name | JESSICA GOREY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: ME LC13673) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MA 213591) |
| 104100000X Social Worker (Licence: ME LC13673) | |
| Enumeration Date | 2008-07-07 |
| Last Update Date | 2022-07-21 |