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 |