NPI | 1407320294 |
---|---|
Former Name | JENNIFER J KENDALL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CO LPCC.0017577) |
Additional Taxonomies | 106S00000X Behavior Technician |
Enumeration Date | 2019-01-15 |
Last Update Date | 2020-07-14 |