NPI | 1043767049 |
---|---|
Former Name | JENNY MCCLELLAND |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 104100000X Social Worker (Licence: WA LW61307762) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: WA CG60930980) |
1041C0700X Social Worker, Clinical (Licence: WA SC61003412) | |
Enumeration Date | 2016-09-07 |
Last Update Date | 2022-11-16 |