| NPI | 1306962915 |
|---|---|
| Former Name | JENNIFER R ENGLE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: CO PSY.0003310) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CO 3843) |
| Enumeration Date | 2007-03-22 |
| Last Update Date | 2021-09-17 |