| NPI | 1881137230 |
|---|---|
| Former Name | JENNIFER FENN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801104184) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MI 6801098546) |
| Enumeration Date | 2016-12-02 |
| Last Update Date | 2024-01-25 |