| NPI | 1376182113 |
|---|---|
| Former Name | JENNA LYNN SMITH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT129084) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: TX 205504) |
| 106H00000X Marriage & Family Therapist (Licence: PA MF001769) | |
| Enumeration Date | 2019-12-26 |
| Last Update Date | 2026-03-05 |