| NPI | 1972973394 |
|---|---|
| Former Name | JESSICA DANIELS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CT 010549) |
| Additional Taxonomies | 101Y00000X Counselor |
| Enumeration Date | 2015-09-28 |
| Last Update Date | 2022-09-26 |