| NPI | 1336346832 |
|---|---|
| Former Name | JENNIFER LAUREN OBERLY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: NM CMF0206341) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA LMFT52395) |
| 106H00000X Marriage & Family Therapist (Licence: CA MFC 52395) | |
| Enumeration Date | 2007-06-28 |
| Last Update Date | 2023-09-12 |