| NPI | 1770137358 |
|---|---|
| Former Name | JENNIFER ANTHONY ROCHE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: ME LC20908) |
| Additional Taxonomies | 104100000X Social Worker (Licence: ME MC18087) |
| 1041C0700X Social Worker, Clinical | |
| Enumeration Date | 2019-07-31 |
| Last Update Date | 2024-04-19 |