NPI | 1831518083 |
---|---|
Former Name | JENNIFER ELIZABETH MULDER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 104100000X Social Worker (Licence: IN 33006331A) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IN 34007101A) |
Enumeration Date | 2014-04-15 |
Last Update Date | 2014-11-05 |