| NPI | 1922363068 |
|---|---|
| Former Name | JENNIFFER A LONGO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: MT 37207) |
| Enumeration Date | 2012-07-04 |
| Last Update Date | 2019-03-11 |