| NPI | 1427537265 |
|---|---|
| Former Name | JANET RUTH JONATZKE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CO CSW.09926815) |
| Additional Taxonomies | 104100000X Social Worker |
| 1041C0700X Social Worker, Clinical (Licence: TN LSW0000007712) | |
| Enumeration Date | 2018-08-13 |
| Last Update Date | 2024-10-01 |