| NPI | 1912026758 |
|---|---|
| Professional Name | MARTY JENNINGS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MI 1-00266) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MI 6802057046) |
| Enumeration Date | 2007-03-29 |
| Last Update Date | 2007-07-08 |