| NPI | 1326279944 |
|---|---|
| Former Name | JENNIFER L GRANT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW12007) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| 1041C0700X Social Worker, Clinical (Licence: WI 7892-123) | |
| Enumeration Date | 2009-07-30 |
| Last Update Date | 2024-06-25 |