| NPI | 1497188858 |
|---|---|
| Former Name | JENNIFER ULLAKKO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OR L5767) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OR 08-08-05) |
| 1041C0700X Social Worker, Clinical (Licence: WA LW 60297208) | |
| Enumeration Date | 2013-08-20 |
| Last Update Date | 2019-02-04 |