| NPI | 1295216380 |
|---|---|
| Former Name | JENNIFER LYNN ADAMS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MO 2019040160) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MO 2017001460) |
| 1041C0700X Social Worker, Clinical (Licence: IL 149021642) | |
| Enumeration Date | 2018-08-27 |
| Last Update Date | 2021-03-19 |