NPI | 1316241334 |
---|---|
Former Name | JENNIFER ANN YADON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MA 000007570) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NY 013824) |
101YP2500X Counselor, Professional (Licence: CT 2205) | |
Enumeration Date | 2011-01-05 |
Last Update Date | 2024-01-03 |