| NPI | 1275893117 |
|---|---|
| Former Name | JENNIFER SUSAN BERSAK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 085399) |
| Enumeration Date | 2012-05-25 |
| Last Update Date | 2020-03-04 |