| NPI | 1790446540 |
|---|---|
| Former Name | JENNIFER WITTIG |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149013043) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IN 34010053A) |
| 1041C0700X Social Worker, Clinical (Licence: TX 110740) | |
| Enumeration Date | 2022-01-04 |
| Last Update Date | 2023-08-01 |