| NPI | 1134793318 |
|---|---|
| Former Name | JENNA-BRIE PLACE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 112363) |
| Additional Taxonomies | 104100000X Social Worker (Licence: CO LSW.0009922834) |
| Enumeration Date | 2021-05-13 |
| Last Update Date | 2025-12-01 |