| NPI | 1588838049 |
|---|---|
| Former Name | JENNIFER HAGEL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WI 5691) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: WI 5691) |
| 104100000X Social Worker | |
| Enumeration Date | 2008-04-16 |
| Last Update Date | 2024-07-30 |