| NPI | 1194363127 |
|---|---|
| Former Name | JENNIFER BERNIECE HUBBARD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: KS 078) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MO 2000150520) |
| Enumeration Date | 2019-12-20 |
| Last Update Date | 2019-12-20 |