NPI | 1285993808 |
---|---|
Former Name | JENNIFER JUNE STRAYER DYAL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: AR 3816-C) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: AR 2408-M) |
Enumeration Date | 2012-05-16 |
Last Update Date | 2017-03-27 |