NPI | 1184913915 |
---|---|
Former Name | JENNIFER BOYLE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 104100000X Social Worker (Licence: OH I.1100012) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: PA CW017018) |
Enumeration Date | 2011-04-01 |
Last Update Date | 2015-06-24 |