| NPI | 1134481062 |
|---|---|
| Former Name | JENNIFER GORDON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C009135) |
| Additional Taxonomies | 133N00000X Nutritionist (Licence: NJ 44SL05664700) |
| Enumeration Date | 2012-06-15 |
| Last Update Date | 2023-08-15 |