| NPI | 1821530387 |
|---|---|
| Former Name | JESSICA L POLING |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH I.1700590) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH LICDC.161568) |
| Enumeration Date | 2016-11-14 |
| Last Update Date | 2018-04-02 |