| NPI | 1104971456 |
|---|---|
| Former Name | JENNIFER ANN FIELDS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA C24031214) |
| Enumeration Date | 2007-01-25 |
| Last Update Date | 2024-10-28 |