| NPI | 1750573671 |
|---|---|
| Former Name | JENNIFER LAURA SEGAL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical |
| Additional Taxonomies | 104100000X Social Worker |
| Enumeration Date | 2007-08-14 |
| Last Update Date | 2012-08-02 |