| NPI | 1699786392 |
|---|---|
| Former Name | JENNIFER MARY JANKOWICZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801084818) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IL 149011081) |
| Enumeration Date | 2006-08-10 |
| Last Update Date | 2007-07-08 |