NPI | 1497183347 |
---|---|
Former Name | JENNIFER LYN DRYDEN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
Enumeration Date | 2013-10-30 |
Last Update Date | 2019-04-25 |