| 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 |