| NPI | 1124501424 |
|---|---|
| Former Name | REBEKAH ANN JAENICKE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: IN 33008747A) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
| Enumeration Date | 2018-09-12 |
| Last Update Date | 2018-09-12 |