| NPI | 1881983633 |
|---|---|
| Former Name | JENNIFER VANDEN BOSCH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: AR 11575-C) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 078868) |
| 1041C0700X Social Worker, Clinical (Licence: NJ 44SC05697100) | |
| 104100000X Social Worker (Licence: NY 076703) | |
| Enumeration Date | 2011-04-01 |
| Last Update Date | 2022-05-04 |