NPI | 1902865397 |
---|---|
Other Name | JENNIFER WARREN FOWLER-GREAVES |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: ME LC2965) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: ME LC1990) |
Enumeration Date | 2006-03-22 |
Last Update Date | 2019-06-25 |