| NPI | 1932326816 |
|---|---|
| Former Name | JENNIFER LYNN OWENS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149012500) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: IL 370984175) |
| Enumeration Date | 2007-04-20 |
| Last Update Date | 2023-07-11 |