| NPI | 1841173226 |
|---|---|
| Former Name | JESSICA FREEMAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NE 5451) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: NE 5451) |
| 1041C0700X Social Worker, Clinical (Licence: NE 1901) | |
| 104100000X Social Worker (Licence: NE 1901) | |
| Enumeration Date | 2025-07-31 |
| Last Update Date | 2025-07-31 |