NPI | 1871134197 |
---|---|
Former Name | JESSICA MARIE PLESCIA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA 230066) |
Additional Taxonomies | 222Q00000X Developmental Therapist |
Enumeration Date | 2019-10-08 |
Last Update Date | 2024-05-13 |