| NPI | 1366048761 |
|---|---|
| Former Name | JENNIFER BAITY CARLIN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 1041C0700X) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA LCI02780315) |
| Enumeration Date | 2020-12-10 |
| Last Update Date | 2020-12-10 |