| NPI | 1891286902 |
|---|---|
| Former Name | JENNY LEIGH GOSCHKE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801114982) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MI 6802088738) |
| Enumeration Date | 2018-05-24 |
| Last Update Date | 2022-07-19 |