| NPI | 1801446679 |
|---|---|
| Former Name | JENNIFER ROSE RADFORD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 104100000X Social Worker |
| Enumeration Date | 2019-09-13 |
| Last Update Date | 2021-07-28 |