| NPI | 1841648839 |
|---|---|
| Former Name | JENNIFER L COUILLARD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WI 9360-123) |
| Additional Taxonomies | 104100000X Social Worker (Licence: WI 129635-121) |
| Enumeration Date | 2016-05-31 |
| Last Update Date | 2021-12-21 |