| NPI | 1912256967 |
|---|---|
| Former Name | JENNIFER NICOLE LEE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: KY 4026) |
| Additional Taxonomies | 104100000X Social Worker (Licence: KY 08202012) |
| 104100000X Social Worker (Licence: KY 4026) | |
| Enumeration Date | 2012-09-06 |
| Last Update Date | 2021-04-27 |