| NPI | 1932654415 |
|---|---|
| Former Name | JESSICA O'DELL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: MI 6801120660) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MI 6801120660) |
| Enumeration Date | 2016-08-24 |
| Last Update Date | 2026-06-16 |