| NPI | 1346795762 |
|---|---|
| Other Name | JENNIFER LYNN STANLEY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MN 304574) |
| Enumeration Date | 2016-08-16 |
| Last Update Date | 2016-08-16 |