NPI | 1437406840 |
---|---|
Former Name | JANE JERGINS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NM C-09244) |
Additional Taxonomies | 101Y00000X Counselor |
104100000X Social Worker (Licence: NM M-08100) | |
Enumeration Date | 2012-08-06 |
Last Update Date | 2022-01-19 |