| 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 |