| NPI | 1245671171 |
|---|---|
| Former Name | JENNIFER N MARTIN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801099354) |
| Additional Taxonomies | 104100000X Social Worker (Licence: OH S.1302717) |
| Enumeration Date | 2013-07-08 |
| Last Update Date | 2018-08-13 |