| NPI | 1366542698 |
|---|---|
| Former Name | JENIFER J TUBB |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: GA LPC004568) |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| 102L00000X Psychoanalyst | |
| Enumeration Date | 2006-09-25 |
| Last Update Date | 2017-12-23 |