| NPI | 1518298330 |
|---|---|
| Former Name | JENNIFER FIELDS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 175T00000X Peer Specialist (Licence: CA JPGCUTBYWRQIXHOS) |
| Additional Taxonomies | 101Y00000X Counselor |
| Enumeration Date | 2010-01-18 |
| Last Update Date | 2023-04-07 |