| NPI | 1578312625 |
|---|---|
| Former Name | JENNA REEVES |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OR T-25-6153) |
| Enumeration Date | 2024-05-13 |
| Last Update Date | 2025-11-14 |