NPI | 1669818225 |
---|---|
Former Name | JENNA ELISE LIPPINCOTT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCSW91860) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA ASW66412) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2013-05-21 |
Last Update Date | 2020-09-17 |