| NPI | 1063990539 |
|---|---|
| Former Name | JENELLE ANGELINA GREIG |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 95613) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CA 3379) |
| Enumeration Date | 2018-08-06 |
| Last Update Date | 2024-06-10 |