| NPI | 1841752615 |
|---|---|
| Former Name | JACKIE LYNN WARNER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: NY 106177) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 106177-1) |
| Enumeration Date | 2019-04-02 |
| Last Update Date | 2019-04-02 |