| NPI | 1689966350 |
|---|---|
| Former Name | JENNIFER SUE GOOD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: IL 043077866) |
| Enumeration Date | 2011-05-12 |
| Last Update Date | 2023-06-07 |