| 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 |