| NPI | 1437721065 |
|---|---|
| Former Name | JACLYN MCKENNA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW22846) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MI 6801118030) |
| Enumeration Date | 2021-07-13 |
| Last Update Date | 2025-07-18 |