NPI | 1063901775 |
---|---|
Former Name | JENNIFER MICHELLE WARAWA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 126754) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: KY 253264) |
Enumeration Date | 2018-05-08 |
Last Update Date | 2024-11-30 |