| NPI | 1639306061 |
|---|---|
| Former Name | JENNIFER LYNNE ANDERSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 52620) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 50907) |
| Enumeration Date | 2009-06-11 |
| Last Update Date | 2022-02-11 |