| NPI | 1982214367 |
|---|---|
| Former Name | JENNI SHAW |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 104100000X Social Worker (Licence: AR 9532M) |
| 1041C0700X Social Worker, Clinical (Licence: AR 9532C) | |
| Enumeration Date | 2020-07-31 |
| Last Update Date | 2023-07-21 |