| NPI | 1609158781 |
|---|---|
| Former Name | JENNIFER RIAN MCLUSKIE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: ID 31649) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: ID LCSW-31649) |
| Enumeration Date | 2011-09-14 |
| Last Update Date | 2019-09-05 |