| NPI | 1780101030 |
|---|---|
| Former Name | JENNA FLATER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MO 2021048520) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MO 2019010050) |
| 1041C0700X Social Worker, Clinical | |
| 101YS0200X Counselor, School | |
| Enumeration Date | 2017-08-28 |
| Last Update Date | 2023-05-25 |