| NPI | 1508136631 |
|---|---|
| Former Name | JENNIFER ELIZABETH JIMENEZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: AL 408) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA LMFT80004) |
| 106H00000X Marriage & Family Therapist (Licence: AL LMFT408) | |
| Enumeration Date | 2012-01-05 |
| Last Update Date | 2022-01-19 |