NPI | 1134534340 |
---|---|
Former Name | JENIFER VINCENT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker Clinical |
Additional Taxonomies | 251B00000X Case Management |
Enumeration Date | 2014-06-25 |
Last Update Date | 2021-05-06 |