NPI | 1013218064 |
---|---|
Former Name | JENNIFER GRACE LEGGETT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
101YP2500X Counselor, Professional (Licence: TX 99668) | |
175T00000X Peer Specialist | |
Enumeration Date | 2010-11-08 |
Last Update Date | 2025-08-06 |