NPI | 1235782574 |
---|---|
Former Name | JENNIFER E BASTON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 104100000X Social Worker |
Additional Taxonomies | 101YP2500X Counselor, Professional |
Enumeration Date | 2019-07-16 |
Last Update Date | 2019-07-22 |