| NPI | 1871081232 |
|---|---|
| Former Name | JENNIFER EVAN GREEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: MO 2012008147) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2018-05-01 |
| Last Update Date | 2019-08-20 |