NPI | 1629630553 |
---|---|
Former Name | JENNIFER R FLETT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MO 2021042330) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MO 2016002398) |
Enumeration Date | 2019-07-01 |
Last Update Date | 2021-11-01 |