| NPI | 1891049169 |
|---|---|
| Former Name | JAMIE L PREUSS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CO 9923493) |
| Additional Taxonomies | 104100000X Social Worker (Licence: CO LSW-1036) |
| Enumeration Date | 2012-11-07 |
| Last Update Date | 2023-06-29 |