NPI | 1841345519 |
---|---|
Former Name | JENNIFER LYNN HANSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 104100000X Social Worker (Licence: NM M-05934) |
Additional Taxonomies | 1041S0200X Social Worker, School (Licence: NM 309385) |
Enumeration Date | 2007-01-24 |
Last Update Date | 2007-07-08 |