NPI | 1225400872 |
---|---|
Former Name | JENNIFER J SCHMUDLACH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 104100000X Social Worker (Licence: IA 007918) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IA 007918) |
Enumeration Date | 2015-10-22 |
Last Update Date | 2025-02-11 |