| NPI | 1700136819 |
|---|---|
| Former Name | JENNIFER RUDY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH I.1500856) |
| Additional Taxonomies | 104100000X Social Worker (Licence: OH S1302440) |
| Enumeration Date | 2012-09-17 |
| Last Update Date | 2022-08-24 |