NPI | 1073856688 |
---|---|
Former Name | JENNIFER DEGRAFFE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: AZ LCSW-19356) |
Additional Taxonomies | 101YP2500X Counselor Professional (Licence: AZ LMSW-13540) |
Enumeration Date | 2013-04-02 |
Last Update Date | 2023-11-30 |