NPI | 1205498607 |
---|---|
Former Name | JENNIFER KRISTINE MCGLYNN PATERNO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WA LW61491945) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA CG60963218) |
104100000X Social Worker (Licence: WA LW61491945) | |
Enumeration Date | 2019-07-05 |
Last Update Date | 2024-04-16 |