| NPI | 1811149800 |
|---|---|
| Former Name | JESSICA L O'DEA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH E.06000051) |
| Enumeration Date | 2008-10-21 |
| Last Update Date | 2024-10-10 |