| NPI | 1386645331 |
|---|---|
| Former Name | JENNIFER SMITH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IN 34004751A) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: TN 9290) |
| Enumeration Date | 2005-08-02 |
| Last Update Date | 2024-09-24 |