| NPI | 1417516337 |
|---|---|
| Former Name | JENNIFER LYNN MENGEL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: NC C016093) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: NC P013463) |
| Enumeration Date | 2019-06-13 |
| Last Update Date | 2025-05-08 |