| NPI | 1164611448 |
|---|---|
| Former Name | JENNIFER KRISTINE MINTER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: VA 0904007310) |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: NC 1180) |
| 1041C0700X Social Worker Clinical (Licence: NC P003927) | |
| 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: VA 0710102381) | |
| Enumeration Date | 2007-10-23 |
| Last Update Date | 2013-07-03 |