| NPI | 1568793347 |
|---|---|
| Former Name | JENNIFER MARIE PERKINS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA LH60392540) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OR C3739) |
| Enumeration Date | 2010-01-19 |
| Last Update Date | 2023-12-23 |