NPI | 1225149818 |
---|---|
Former Name | JOANN JENKINS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: MI 4101006138) |
Additional Taxonomies | 104100000X Social Worker (Licence: MI 6801068087) |
Enumeration Date | 2006-08-31 |
Last Update Date | 2025-09-11 |