| NPI | 1376251918 |
|---|---|
| Former Name | JENNIFER L DANIELS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: SC 8104) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MA 4322) |
| Enumeration Date | 2022-11-14 |
| Last Update Date | 2022-11-14 |