| NPI | 1932848934 |
|---|---|
| Former Name | JESSICA NICOLE URISH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149.025552) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 104100000X Social Worker | |
| Enumeration Date | 2022-05-31 |
| Last Update Date | 2024-11-02 |