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 |