NPI | 1225271687 |
---|---|
Former Name | JENNIFER R AUSTIN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MS 2046) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: GA APC002193) |
Enumeration Date | 2009-04-15 |
Last Update Date | 2020-08-03 |