NPI | 1942956594 |
---|---|
Former Name | JENNIFER CRAIG |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 106633) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA 97602) |
Enumeration Date | 2022-02-22 |
Last Update Date | 2022-02-22 |