| NPI | 1053305607 |
|---|---|
| Former Name | JENNIFER ANNE HETTEL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OR 2735) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: OR L2735) |
| Enumeration Date | 2005-09-09 |
| Last Update Date | 2021-03-25 |