NPI | 1336614502 |
---|---|
Former Name | JENNIFER L KRIGBAUM |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 104100000X Social Worker (Licence: OR A12846) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical |
Enumeration Date | 2018-10-03 |
Last Update Date | 2023-01-04 |