NPI | 1356707673 |
---|---|
Former Name | JENNIFER RAUCH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C012926) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IL 149016196) |
Enumeration Date | 2016-01-04 |
Last Update Date | 2023-03-29 |