| NPI | 1205451317 |
|---|---|
| Other Name | JENNIFER MODINE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: ND 5917) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
| Enumeration Date | 2020-06-15 |
| Last Update Date | 2021-12-07 |