| NPI | 1215928395 |
|---|---|
| Former Name | JENNIFER ANN FREESE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY R070197-1) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 070197-1) |
| Enumeration Date | 2005-10-28 |
| Last Update Date | 2010-05-06 |