NPI | 1073758538 |
---|---|
Former Name | JENNIFER ANN HOARTY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: LA 8893) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: TX 58182) |
Enumeration Date | 2008-12-11 |
Last Update Date | 2013-10-10 |