| NPI | 1922515758 |
|---|---|
| Former Name | JESSICA SOLANO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: MI 6801108015) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: MI 6801100419) |
| 1041C0700X Social Worker Clinical | |
| Enumeration Date | 2018-01-02 |
| Last Update Date | 2021-07-20 |