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 |