| NPI | 1952454993 |
|---|---|
| Former Name | JENNIFER KLYBERG |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: CT 007533) |
| Additional Taxonomies | 104100000X Social Worker (Licence: RI ISW01628) |
| Enumeration Date | 2007-01-22 |
| Last Update Date | 2011-02-09 |