NPI | 1437741691 |
---|---|
Former Name | JENNI N GOODRIDGE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OR Ai3788) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OR A13788) |
171M00000X Case Manager/Care Coordinator | |
Enumeration Date | 2021-02-09 |
Last Update Date | 2023-02-06 |