NPI | 1619384989 |
---|---|
Former Name | JENNIFER MARRERO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LPCC409) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: HI MHC 306) |
101YP2500X Counselor, Professional (Licence: AZ LPC 14506) | |
101YP2500X Counselor, Professional (Licence: CA LPC 409) | |
Enumeration Date | 2014-07-17 |
Last Update Date | 2020-06-08 |