| NPI | 1386810729 |
|---|---|
| Former Name | JENNIFER LOUISE SNOW |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: MD LC8298) |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) |
| Enumeration Date | 2008-05-06 |
| Last Update Date | 2020-09-11 |