| NPI | 1255617064 |
|---|---|
| Former Name | JENNIFER HALL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: WI 5802-125) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: WY 554) |
| 101Y00000X Counselor (Licence: WY LPC-1270) | |
| 101YP2500X Counselor, Professional (Licence: WY LPC-1270) | |
| Enumeration Date | 2011-10-25 |
| Last Update Date | 2015-10-26 |