NPI | 1518258771 |
---|---|
Former Name | JENNIFER M SLOSSER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: MI 6801098471) |
Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) |
1041C0700X Social Worker Clinical (Licence: FL ISW6530) | |
Enumeration Date | 2011-04-22 |
Last Update Date | 2024-11-20 |