| NPI | 1275781973 |
|---|---|
| Former Name | JENNIFER DORRIS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OK 2569) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: OK 2569) |
| Enumeration Date | 2008-09-05 |
| Last Update Date | 2019-02-20 |