| NPI | 1043596356 |
|---|---|
| Former Name | JENNIFER BROOKE SPEED |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: VA 0701006184) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health |
| Enumeration Date | 2011-11-01 |
| Last Update Date | 2018-10-18 |