| NPI | 1740716554 |
|---|---|
| Former Name | JENNIFER JENKINS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: OH S.1600287) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: OH S 1600287) |
| Enumeration Date | 2017-05-11 |
| Last Update Date | 2023-04-20 |