| NPI | 1760910624 |
|---|---|
| Former Name | JENNA HARTZELL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801104782) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MI 6801100864) |
| Enumeration Date | 2017-05-23 |
| Last Update Date | 2019-06-11 |