| NPI | 1063718716 |
|---|---|
| Former Name | JENNIFER ANN MALONE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: VA 0904008944) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: DC LC50080609) |
| 1041C0700X Social Worker Clinical (Licence: WV DP00943751) | |
| Enumeration Date | 2011-01-28 |
| Last Update Date | 2020-02-24 |