| NPI | 1588038111 |
|---|---|
| Former Name | JENNIFER PAUL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA 123764) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MO 2008025781) |
| Enumeration Date | 2015-11-19 |
| Last Update Date | 2023-04-15 |