NPI | 1366822645 |
---|---|
Former Name | JENNIFER LEE JEFFRIES |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MO 2017044325) |
Additional Taxonomies | 104100000X Social Worker (Licence: MO 2015015788) |
Enumeration Date | 2015-06-02 |
Last Update Date | 2021-04-13 |