| NPI | 1902962749 |
|---|---|
| Former Name | JENNIFER F COSTANTI |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WA LW60715939) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WA CP60063103) |
| 104100000X Social Worker (Licence: WA LW60715939) | |
| Enumeration Date | 2006-12-28 |
| Last Update Date | 2020-01-09 |