| NPI | 1174994537 |
|---|---|
| Former Name | JEANIE ROGERS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: ME LC16730) |
| Enumeration Date | 2015-10-12 |
| Last Update Date | 2019-09-06 |