| NPI | 1083901540 |
|---|---|
| Former Name | DONNA L JENNINGS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MO 2001005378) |
| Additional Taxonomies | 104100000X Social Worker (Licence: KS 6903) |
| Enumeration Date | 2011-07-06 |
| Last Update Date | 2011-07-06 |