NPI | 1598166258 |
---|---|
Former Name | JENNIFER LYNN PHIPPS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA MC60507583) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
Enumeration Date | 2014-09-11 |
Last Update Date | 2019-03-29 |