| NPI | 1235682089 |
|---|---|
| Former Name | JENNIFER PARKER AYLWORTH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: SC 13343) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2016-07-28 |
| Last Update Date | 2019-10-10 |