| 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 | 2025-03-04 |