| NPI | 1235638859 |
|---|---|
| Former Name | JENNIFER LEE CRUTTENDEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MD 29439) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 117488) |
| Enumeration Date | 2018-02-09 |
| Last Update Date | 2025-05-27 |