| NPI | 1588288054 |
|---|---|
| Former Name | JEANNINE CHESTER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 085830-1) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MA 125968) |
| Enumeration Date | 2020-06-01 |
| Last Update Date | 2025-08-05 |