NPI | 1538415427 |
---|---|
Former Name | JENNIFER MARIE GILROY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: NV 1079) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NV 1240) |
Enumeration Date | 2012-07-27 |
Last Update Date | 2015-02-11 |