NPI | 1871894105 |
---|---|
Former Name | JERI LYN KENNEDY-LYNN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: KS 1869) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MO 2022041935) |
Enumeration Date | 2010-11-03 |
Last Update Date | 2022-10-24 |