| NPI | 1376053645 |
|---|---|
| Former Name | JENNIFER ANN STEPHENSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VA 0904014451) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 092093) |
| 1041C0700X Social Worker, Clinical (Licence: FL TPSW2750) | |
| 1041C0700X Social Worker, Clinical (Licence: ME LC21897) | |
| 1041C0700X Social Worker, Clinical (Licence: VT 089.0135185) | |
| Enumeration Date | 2017-10-02 |
| Last Update Date | 2023-06-14 |