| NPI | 1063748705 |
|---|---|
| Former Name | JENNIFER ROBYN MARTIN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NC 7957) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: NC 7597) |
| Enumeration Date | 2009-10-31 |
| Last Update Date | 2022-09-21 |