| NPI | 1225600315 |
|---|---|
| Former Name | JENNIFER MARIE ALLEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TN 8971) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 104100000X Social Worker (Licence: TN 11293) | |
| Enumeration Date | 2021-07-16 |
| Last Update Date | 2023-11-09 |