| NPI | 1427193663 |
|---|---|
| Former Name | JENNIFER MARIE MCNAMARA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: IN 35002028A) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA MFCC50937) |
| Enumeration Date | 2007-02-21 |
| Last Update Date | 2019-07-17 |