| NPI | 1316456833 |
|---|---|
| Former Name | JENNIFER ROSE SHUFELBERGER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 101673) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CA 4309) |
| Enumeration Date | 2017-09-27 |
| Last Update Date | 2017-09-27 |