| NPI | 1164188421 |
|---|---|
| Former Name | JENNIFER KUKLA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IN 34010349A) |
| Additional Taxonomies | 104100000X Social Worker (Licence: IN 33007097A) |
| Enumeration Date | 2021-11-11 |
| Last Update Date | 2023-07-13 |