| NPI | 1770971970 |
|---|---|
| Former Name | JESSICA MCINTYRE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WI 8675-123) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: WI 129571-121) |
| 1041C0700X Social Worker, Clinical (Licence: MN 21527) | |
| Enumeration Date | 2014-12-23 |
| Last Update Date | 2025-06-30 |