NPI | 1568554608 |
---|---|
Former Name | JENNIFER PATRICIA BOUDREAUX |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 104100000X Social Worker |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: FL 8963) |
Enumeration Date | 2006-09-28 |
Last Update Date | 2025-05-12 |