| NPI | 1205970787 |
|---|---|
| Former Name | JENNIFER LEE MEDGYESI |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NH 2048) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MO 2016030692) |
| 1041C0700X Social Worker, Clinical (Licence: KS 4297) | |
| 1041C0700X Social Worker, Clinical (Licence: CA LCS22907) | |
| Enumeration Date | 2007-02-16 |
| Last Update Date | 2020-07-13 |