NPI | 1093188427 |
---|---|
Former Name | JENIFER KRISTEN WOODS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 121125) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 85436) |
Enumeration Date | 2015-11-06 |
Last Update Date | 2021-03-27 |