| NPI | 1528254018 |
|---|---|
| Former Name | JENNIFER FAULCONER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCSW27793) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: WA LW60668237) |
| 1041C0700X Social Worker, Clinical (Licence: OR L4477) | |
| Enumeration Date | 2007-09-19 |
| Last Update Date | 2020-07-01 |