| NPI | 1962801266 |
|---|---|
| Former Name | JERUSA BROWN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 54787) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: DC lc50080654) |
| 1041C0700X Social Worker, Clinical (Licence: VA 0904008947) | |
| Enumeration Date | 2014-08-22 |
| Last Update Date | 2017-04-11 |