NPI | 1891170809 |
---|---|
Former Name | JESSICA PLATANITIS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: ME LC16722) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: ME MC15489) |
Enumeration Date | 2015-07-21 |
Last Update Date | 2018-07-23 |