| NPI | 1801538103 |
|---|---|
| Former Name | JAMIE LYNN DIDOMENICO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA 125683) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MA 224917) |
| Enumeration Date | 2022-04-08 |
| Last Update Date | 2023-10-02 |