| NPI | 1588920425 |
|---|---|
| Former Name | JENNIFER SUZANNE NEWLIN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 90124) |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| Enumeration Date | 2012-04-04 |
| Last Update Date | 2018-08-25 |