| NPI | 1487052239 |
|---|---|
| Former Name | JENNIFER CASILLAS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: NV 2823) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NV 2823) |
| 106H00000X Marriage & Family Therapist (Licence: OK MFT803) | |
| 106H00000X Marriage & Family Therapist (Licence: LA MFT27) | |
| Enumeration Date | 2014-12-10 |
| Last Update Date | 2022-01-20 |