NPI | 1083056279 |
---|---|
Former Name | JENNIFER S SAGUN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 75956) |
Additional Taxonomies | 104100000X Social Worker (Licence: CA 35530) |
Enumeration Date | 2013-07-29 |
Last Update Date | 2023-08-03 |