| NPI | 1023252962 |
|---|---|
| Former Name | JENNA M NEVILLS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OR 19-03-04) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OR 19-QMHPC-00131) |
| 104100000X Social Worker | |
| Enumeration Date | 2009-04-22 |
| Last Update Date | 2022-06-13 |