NPI | 1326503103 |
---|---|
Former Name | JENNIFER GARRETT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101Y00000X Counselor (Licence: WA 60935709) |
Additional Taxonomies | 101Y00000X Counselor |
Enumeration Date | 2019-02-05 |
Last Update Date | 2019-02-05 |