| NPI | 1720228919 |
|---|---|
| Former Name | JENNIFER MCCAULEY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149.015692) |
| Additional Taxonomies | 104100000X Social Worker (Licence: IL 150.011938) |
| Enumeration Date | 2009-02-27 |
| Last Update Date | 2022-12-20 |