NPI | 1881822526 |
---|---|
Former Name | JESSICA LYNN MESKELL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NH 1721) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MA 215811) |
104100000X Social Worker (Licence: MA 413099) | |
Enumeration Date | 2009-07-01 |
Last Update Date | 2014-04-24 |