NPI | 1326405960 |
---|---|
Former Name | JENNIFER SKYPE HUNT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101Y00000X Counselor (Licence: WA CG61109779) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WA CP60549140) |
Enumeration Date | 2016-01-27 |
Last Update Date | 2020-10-13 |