| NPI | 1336591924 |
|---|---|
| Former Name | JEANNINE GEMMA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CT 10396) |
| Additional Taxonomies | 101Y00000X Counselor |
| Enumeration Date | 2016-07-07 |
| Last Update Date | 2024-09-27 |