| 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 |