| NPI | 1346622602 |
|---|---|
| Former Name | JENNIFER ASHLEY ORCUTT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YM0800X Counselor Mental Health | |
| Enumeration Date | 2015-06-23 |
| Last Update Date | 2019-03-19 |