NPI | 1942554571 |
---|---|
Former Name | JENNIFER LEA HARDRIDGE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health |
Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
Enumeration Date | 2012-11-05 |
Last Update Date | 2019-03-05 |