| NPI | 1619153558 |
|---|---|
| Former Name | JENNIFER MARIE WOOD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA 115360) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MA 214311) |
| Enumeration Date | 2008-01-10 |
| Last Update Date | 2009-12-17 |