| NPI | 1720524754 |
|---|---|
| Former Name | JENNIFER CALVIN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WA LW60559117) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA LW60559117) |
| Enumeration Date | 2017-01-14 |
| Last Update Date | 2017-01-14 |