NPI | 1538488770 |
---|---|
Former Name | JENNIFER L STRAIT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NE 1481) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NE 1258) |
Enumeration Date | 2010-05-27 |
Last Update Date | 2018-03-13 |