NPI | 1538745658 |
---|---|
Former Name | JENNIFER BECKER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: NY 094421) |
Additional Taxonomies | 104100000X Social Worker (Licence: NY 066711) |
Enumeration Date | 2021-03-19 |
Last Update Date | 2023-01-14 |