NPI | 1477146181 |
---|---|
Former Name | JENNIFER MARIE COMPTON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CO CSW.09927746) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CO ACD.0001781) |
1041C0700X Social Worker, Clinical (Licence: CO LSW.0009922734) | |
Enumeration Date | 2021-02-12 |
Last Update Date | 2023-10-26 |