| NPI | 1457927329 |
|---|---|
| Former Name | JENNA MARGARET TALBOTT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101Y00000X Counselor |
| 103T00000X Psychologist | |
| 103TC1900X Psychologist, Counseling | |
| 103TF0200X Psychologist, Forensic | |
| Enumeration Date | 2021-06-01 |
| Last Update Date | 2021-06-01 |