| NPI | 1104976208 |
|---|---|
| Former Name | VANESSA MARIE JENNINGS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 172V00000X Community Health Worker |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: KY 340) |
| 101YP2500X Counselor, Professional (Licence: ID LPC-3865) | |
| Enumeration Date | 2007-01-11 |
| Last Update Date | 2023-03-07 |