| NPI | 1962803981 | 
|---|---|
| Former Name | JENNIFER WEGER | 
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IN 34007738) | 
| Additional Taxonomies | 104100000X Social Worker | 
| Enumeration Date | 2014-09-09 | 
| Last Update Date | 2017-02-06 |