| NPI | 1871265892 |
|---|---|
| Former Name | JENNA FAY BROCIOUS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: HI LCSW-5334-0) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: VA 0906011629) |
| 1041C0700X Social Worker, Clinical (Licence: FL 3892) | |
| Enumeration Date | 2021-09-28 |
| Last Update Date | 2026-06-22 |