NPI | 1134619596 |
---|---|
Former Name | JENNIFER MARIE SCHLOENDORF |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 104100000X Social Worker (Licence: SD 4725) |
Additional Taxonomies | 104100000X Social Worker (Licence: IA 091783) |
104100000X Social Worker (Licence: MN 26882) | |
104100000X Social Worker (Licence: ND 5659) | |
Enumeration Date | 2018-05-11 |
Last Update Date | 2018-11-14 |