| NPI | 1851500946 |
|---|---|
| Former Name | JEANETTA REBECCA GRIFFITH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW7646) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IN 34000373A) |
| Enumeration Date | 2007-05-22 |
| Last Update Date | 2008-09-25 |