| NPI | 1801378823 |
|---|---|
| Former Name | JESSICA DANIELLE LOWRY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MO 2020042156) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MO 2018028406) |
| Enumeration Date | 2018-09-06 |
| Last Update Date | 2021-01-07 |