NPI | 1285756668 |
---|---|
Former Name | JENNIFER ELLEN MORRIS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: GA LPC005784) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: GA APC001502) |
Enumeration Date | 2007-04-04 |
Last Update Date | 2024-07-17 |