NPI | 1700383817 |
---|---|
Former Name | JENNIFER BROUGHTON COHN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VA 0904009883) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: DC LC50081235) |
1041C0700X Social Worker, Clinical (Licence: NY 086698-1) | |
Enumeration Date | 2018-04-06 |
Last Update Date | 2022-11-28 |