| NPI | 1053651828 |
|---|---|
| Former Name | JENNIFER LYNN GEDDES |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: SC 7293) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: SC 8040) |
| 101YM0800X Counselor Mental Health (Licence: NC 9587) | |
| Enumeration Date | 2013-02-15 |
| Last Update Date | 2024-05-09 |