| NPI | 1629302484 |
|---|---|
| Former Name | JENNIFER FORD WEISS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MI 6402026422) |
| Enumeration Date | 2009-09-28 |
| Last Update Date | 2018-02-08 |